Full Description
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.
Contents
General consideration in elderly surgical patients.- 1 Introduction to emergency surgery geriatrics.- 2 Evaulation of geriatric surgical patients in emergency medicine department: surgeons view.- 3 Radiologic evaluation of elederly surgical patients.- 4 The effect of medical comorbidities of geriatric patients undergoing major surgeries.- 5 Practical approaches to perioperative management of anticoagulation.- 6 Anesthetic concerns in advanced age.- 7 Perioperative nutritional support in eldelry.- 8 Antibiotic management in elderly.- 9 Post-operative rehabilitation.- ii: Specialized surgical care in eledrly.- 10 Trauma care for the elderly.- 11 Abdominal catastrophes in the elderly.- 12 Esophageal cancer and hiatal hernia in elderly.- 13 Gastric and duodenal perforation.- 14 Gastro-intestinal bleeding in elderly.- 15 Small bowel obstruction.- 16 Diverting stomas in elderly.- 17 Acute large bowel obstruction.- 18 Damage control and open abdomen in elderly.- 19 Ventralhernia in elderly.- 20 Abdominal wall reconstruction in the elderly.- 21 Hepato-biliary surgery in elderly.- 22 Pancreatic surgery in the elderly.- 23 Necrotizing soft tissue infection in elderley.- 24 Inguinal hernia in elderly.- 25 Renal replacement therapy in elderly.- 26 Intensive care of the elderly.- 27 Palliative and end of life care for the elderly.- 28 Focus on elderly surgical emergency management in low resource setting.
