Emergency General Surgery in Geriatrics

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.  

Table of Contents:

Part I. General Consideration in the Management of Elderly Surgical Patients

1. Emergency General Surgery in the Elderly: An Introduction to the Research Base

2. Geriatric Decision-Making in the Emergency Department: A Surgeon’s Perspective

3. Radiologic Evaluation of Elderly Surgical Patients Undergoing Major Emergency Surgeries

4. Medical Comorbidities in Geriatric Patients Undergoing Major Emergency Surgeries

5. Reversing the Effect of Anticoagulants Safety in Patients Undergoing Emergency Surgery

6. Anesthetic Concerns in Advanced Age Undergoing Emergency Surgery

7. Biology of Perioperative Nutrition: An Update

8. Gut Access for Nutritional Provision

9. Antibiotic Management in the Elderly Patients

10. Enhanced Recovery in Emergency Abdominal Surgery

11. The Role of the Internist in the Care of Elderly Patients Undergoing Emergency Surgery

12. Acute Kidney Injury in the Elderly Surgical Patient

Part II. Specialized Surgical Care in Elderly

13. Trauma in Elderly

14. Esophageal Perforation and Incarcerated Hiatal Hernia in the Elderly

15. Gastric and Duodenal Perforation in Elderly

16. Gastrointestinal Bleeding in Elderly

17. Small Bowel Obstructions in the Elderly

18. Acute Mesenteric Ischemia in the Elderly Patient

19. Acute Diverticulitis in Elderly

20. Intestinal Stomas in Elderly

21. Management of Acute Large Bowel Obstruction in Elderly Patients

22. Acute Appendicitis in Elderly: Presentation, Diagnosis, and Treatment

23. Damage Control and Open Abdomen in the Elderly

24. Abdominal Wall Reconstruction in the Elderly During the Acute Phase: Principles and Techniques

25. Emergency Hepatobiliary Surgery in Elderly

26. Emergency Cholecystectomy in the Elderly

27. Management of Acute Pancreatitis in Elderly

28. Skin and Soft Tissue Infections in the Geriatric Patient

29. Incarcerated Inguinal Hernia in Elderly

30. Laparoscopic Approaches to Emergency General Surgery

Part III. Post-operative Critical Care in Elderly

31. Surgical Intensive Care of the Elderly

32. Postoperative Rehabilitation of the Elderly