Emergency General Surgery in Geriatrics

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.

Addresses emergency general surgery in the elderly Presents a comprehensive, multidisciplinary approach to elderly patients undergoing emergency surgery Written by expert clinicians in the field and edited by prominent surgeons

Auteur

Rifat Latifi is a Professor and Chairman of surgery at New York Medical College (NYMC), School of Medicine, and Director of the Department of Surgery at Westchester Medical Center Health Network. Dr. Latifi is specialized in trauma, general surgery, and critical care-with special interests in complex re-operative surgery, geriatric surgery, telemedicine, and nutrition support for critically ill patients. He is the author or co-author of more than 250 peer-reviewed articles and book chapters, has written or edited 19 books, and serves on the editorial boards of a number of peer-reviewed journals. He is the founding president of Kosovo College of Surgeons and the Editor-in-Chief of Kosovo Journal of Surgery. In addition, he is an associate editor of the Journal of Trauma and Emergency Surgery and section editor of Hernia Journal.

Fausto Catena is Chief of the Department of Emergency and General Surgery at Parma University Hospital, Italy. The author of more than 800 scientific papers, 40 book chapters and seven books, Dr. Catena has also been awarded more than 20 national and international scientific prizes. He is Editor in Chief of the World Journal of Emergency Surgery. In addition to serving as General Secretary of the World Society of Emergency Surgery, Dr. Catena is an internationally recognized opinion leader in emergency surgery, and has authored / co-authored various WSES guidelines and position papers in this field.

Federico Coccolini is a general, emergency and trauma surgeon working at Pisa University Hospital, one of the largest Level-I trauma centers in Italy. He has extensive experience in managing post-traumatic and non post-traumatic patients. His principal interests are: emergency surgery, trauma surgery, advanced oncology, oncologic gastrointestinal surgery, laparoscopic and minimally invasive surgery, tissue engineering and experimental surgery, evidence based medicine and evidence based surgery. He has been principal investigator of several international studies. He has authored hundreds of papers and several book chapters. He has edited several books and is the main editor of a book series. In addition, he is currently a research editor for the World Society of Emergency Surgery (WSES) and the World Journal of Emergency Surgery (WJES).

Contenu

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.

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