BookFerdinando Agresta, Mauro Podda, Fabio Cesare Campanile, Carlo Bergamini, Gabriele Anania, editors.
Summary: 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.
Contents:
Part 1
How to Define an Elderly and Frail Patient ?
1 Defining the Burden of Emergency General Surgery in the Elderly Today
2 A Worldwide Overview of Emergency Laparoscopic Procedures in the Elderly
3 The Economic Burden of Emergency Abdominal Surgery in the Elderly: What is the Role of Laparoscopy?
4 Goals of Care in Emergency Abdominal Surgery in the Elderly and Frail Patient
5 Wound Healing in the Elderly and Frail Patient
Part 2 Acute Cholecystitis
6 Gallstone Ileus
7 Acute Pancreatitis
8 Acute Appendicitis
9 Non-Specific Abdominal Pain
10 Perforated Gastro-Duodenal Ulcer
11 Gastric Outlet Obstruction
12 Obstructing Colonic Tumor
13 Acute Diverticulitis
14 Small Bowel Obstruction
15 Incarcerated Groin and Crural Hernias
16 Incarcerated Incisional and Ventral Hernias
17 Abdominal Trauma
18 Acute Mesenteric Ischemia
19 Gynecologic Emergencies
20 Bedside Laparoscopy in the Elderly and Frail Patient
21 Emergency Robotic Surgery for Acute Abdomen in the Elderly and Frail Patient
22 Enhanced Recovery After Emergency Surgery in the Elderly and Frail Patient
23 Antibiotics in Emergency General Surgery in the Elderly and Frail Patient
24 Anesthesia and Emergency Laparoscopy in the Elderly and Frail Patient
25 Imaging in Emergency Surgery in the Elderly and Frail Patient
26 Emergency Laparoscopy in the Elderly and Frail Patient: Perioperative Nursing Considerations.