Emergency laparoscopic surgery in the elderly and frail patient

Emergency laparoscopic surgery in the elderly and frail patient
Author: Ferdinando Agresta
Publisher: Springer Nature
Total Pages: 340
Release: 2021-08-31
Genre: Medical
ISBN: 3030799905

The global population is aging rapidly, and as a result emergency abdominal surgery for acute abdomen in the elderly has become a global issue. Demographic changes in the population have also altered the profile of emergency abdominal surgery, with typical causes of acute abdomen in the elderly including acute cholecystitis, incarcerated hernia, bowel obstruction and appendicitis. In these patients, recovery from surgery is often complicated, leading to longer hospital stays compared with younger patients. Laparoscopy in the emergency setting is well established and offers a number of advantages over open surgical approaches, such as reduced postoperative pain, length of hospital stay and complication rates. While laparoscopic surgery for acute diverticulitis has become more widespread, in other conditions, like small bowel obstruction and perforated peptic ulcer, laparotomy is still used in about 70% of cases. Further, despite the urgent need for knowledge regarding surgical treatment of acute abdomen in the elderly, there is still a lack of evidence in this relevant clinical field. This book analyzes the management strategies and critically evaluates the outcomes of laparoscopic emergency surgery for acute abdomen in the elderly according to the principles of evidence-based medicine. Discussing each topic clearly, and promoting the use of emergency laparoscopy in elderly patients, the book is intended for young general surgeons and surgeons in training with at least a basic knowledge of surgery for acute abdomen. It is also useful as a quick reference tool during on-call shifts.

Emergency Laparoscopy

Emergency Laparoscopy
Author: Ferdinando Agresta
Publisher: Springer
Total Pages: 262
Release: 2016-05-26
Genre: Medical
ISBN: 3319296205

This book provides up-to-date evidence on laparoscopic emergency surgery and supplies concrete advice on when and how to approach patients laparoscopically in an emergency setting. All the diseases elegible for emergency laparoscopy are addressed, and for each disease recommendations, levels of evidence, and technical key points are discussed and analyzed. Diagnostic flow charts are included for cases in which laparoscopy turns out to be the final diagnostic step and the first therapeutic one. Furthermore, problematic and positive aspects of the laparoscopic approach from the anesthesiologic point of view are fully explored. Finally, a useful overview of current practice in hospitals across the world is provided, highlighting the varying applications in relation to different medical “cultures”, skills, resources, and healthcare systems.

Emergency General Surgery

Emergency General Surgery
Author: Carlos V. R. Brown
Publisher: Springer
Total Pages: 521
Release: 2018-11-09
Genre: Medical
ISBN: 3319962868

The field of emergency general surgery encompasses a wide array of surgical diseases, ranging from the simple to the complex. These diseases may include inflammatory, infectious, and hemorrhagic processes spanning the entire gastrointestinal tract. Complications of abdominal wall hernias, compartment syndromes, skin and soft tissue infections, and surgical diseases are significantly complex in special populations, including elderly, obese, pregnant, immunocompromised, and cirrhotic patients. This book covers emergency general surgery topics in a succinct, practical and understandable fashion. After reviewing the general principles in caring for the emergency general surgery patient, this text discusses current evidence and the best practices stratified by organ system, including esophageal, gastroduodenal, hepatobiliary and pancreatic, small and large bowel, anorectal, thoracic, and hernias. Chapters are written by experts in the field and present a logical, straightforward, and easy to understand approach to the emergency general surgery patient, as well as provide patient care algorithms where appropriate. Emergency General Surgery: A Practical Approach provides surgeons and surgery residents with a practical and evidence-based approach to diagnosing and managing a wide array of surgical diseases encountered on emergency general surgery call.

Emergency General Surgery in Geriatrics

Emergency General Surgery in Geriatrics
Author: Rifat Latifi
Publisher: Springer Nature
Total Pages: 491
Release: 2021-03-29
Genre: Medical
ISBN: 3030622150

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.

Open Abdomen

Open Abdomen
Author: Federico Coccolini
Publisher: Springer
Total Pages: 281
Release: 2018-06-06
Genre: Medical
ISBN: 3319480723

This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.

Geriatric Emergency Medicine

Geriatric Emergency Medicine
Author: Joseph H. Kahn
Publisher: Cambridge University Press
Total Pages: 383
Release: 2014-01-16
Genre: Medical
ISBN: 1107677645

This comprehensive volume provides a practical framework for evaluation, management and disposition of this growing vulnerable patient population.

The Role of Laparoscopy in Emergency Abdominal Surgery

The Role of Laparoscopy in Emergency Abdominal Surgery
Author: Vincenzo Mandala
Publisher: Springer Science & Business Media
Total Pages: 215
Release: 2011-12-07
Genre: Medical
ISBN: 8847023270

This is the first time a book about laparoscopy in emergency abdominal surgery has been published. Numerous articles have been published in specific surgical journals, but, until now, there has not been a book that collates all the aspects of this little-known field. The aim of this volume is to achieve a complete and easy presentation of all the implications associated with laparoscopy in emergency abdominal surgery. The book should be a manual that can be easily consulted by digestive, general, and specialized surgeons, especially in an emergency. The authors’ contributions are founded on evidence-based medicine, which give the book scientific credibility, but this is coupled with their experience of daily practice, which adds an important complementary dimension to evidence-based medicine. This is balanced by an emphasis on clarity and accessibility, because the ultimate aim of the book is educational. We hope this book will be frequently consulted, in depth, not only by specialist practitioners, but also by undergraduate students, new graduates and surgeons in training.

Principles and Practice of Geriatric Surgery

Principles and Practice of Geriatric Surgery
Author: Ronnie Ann Rosenthal
Publisher: Springer Science & Business Media
Total Pages: 1364
Release: 2011-07-12
Genre: Medical
ISBN: 1441969993

"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review

The Perioperative Neurocognitive Disorders

The Perioperative Neurocognitive Disorders
Author: Roderic G. Eckenhoff
Publisher: Cambridge University Press
Total Pages: 219
Release: 2019-03-28
Genre: Medical
ISBN: 1107559200

A practical guide to perioperative cognitive disorders, the most common complications of anesthesia and surgery in older people.

Abdominal Access in Open and Laparoscopic Surgery

Abdominal Access in Open and Laparoscopic Surgery
Author: Edmund K. M. Tsoi
Publisher: John Wiley & Sons
Total Pages: 240
Release: 1996-08-23
Genre: Medical
ISBN: 9780471133520

This practical reference provides a broad comparison of access andexposure in open and minimal access surgery that bridges the gapbetween conventional and laparoscopic techniques while analyzingthe advantages and disadvantages of each. Abdominal Access in Open and Laparoscopic Surgery integrates adiscussion of basic surgical concepts with a survey of evolving newtechnologies and techniques. It provides a comprehensive overviewof classic surgical incisions, established minimal accessalternatives, and the emerging state of the art--gaslesslaparoscopy with subcutaneous lift systems and planar liftingdevices. Over 90 photographs--many in color--and numerous linedrawings clearly illustrate operative techniques and procedures.The indications for, and potential complications of, each techniqueare discussed within the context of standard surgical proceduressuch as cholecystectomy, appendectomy, gastrostomy, andherniorrhaphy. The book concludes with a summary of prospectiveimprovements in instrumentation and videoscopy that will continueto expand the boundaries of minimal access surgery. Individual chapters cover such topics as: * Surgical incisions * Techniques of CO2 pneumoperitoneum * Low pressure pneumoperitoneum * Alternatives to and complications of CO2 pneumoperitoneum * Subcutaneous lift system (SCLS) for laparoscopic surgery * Laparoscopic procedures using the planar lifting technique * Pros and cons of gasless laparoscopy With its detailed coverage of both fundamental concepts andadvanced technologies, Abdominal Access in Open and LaparoscopicSurgery is an ideal resource and an indispensable guide for allpracticing surgeons and surgical residents.