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Books > Medicine > Clinical & internal medicine > Gynaecology & obstetrics
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Geriatrics 3 - Gynecology * Orthopaedics * Anesthesiology * Surgery * Otorhinolaryngology * Ophthalmology * Dermatology (Paperback, Softcover reprint of the original 1st ed. 1984)
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Discovery Miles 31 080
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Geriatrics 3 - Gynecology * Orthopaedics * Anesthesiology * Surgery * Otorhinolaryngology * Ophthalmology * Dermatology (Paperback, Softcover reprint of the original 1st ed. 1984)
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Volume 3 of this series is concerned with geriatric aspects of
surgical specialties: gynecology, orthopedics, general surgery,
otorhinolaryn gology, and ophthalmology. Closely associated with
these specialties is anesthesiology. Dermatology has an
intermediate position between surgical and nonsurgical fields. The
peculiarities of physiological and pathological aging of otgans and
the consequences for diagnosis and therapy - presented in the first
two volumes - are of great significance, especially for surgical
special ties. There are a large number of pre-, intra-, and
postoperative problems in multimorbid geriatric patients, e. g.,
coronary insufficiency, brady arrhythmias, hypertonia, and
hypotonia. While as recently as the tum of the century the age of
65 years was viewed as a contraindication for sur gery, today even
older patients undergo operations on aortic aneurysms, bypass
operations for coronary sclerosis, pulmonary resections, and
abdominosacral resections of rectal carcinomas, for example. Pre
requisite for successful surgery at an advanced age is good pre-
and postoperative care of multimorbid patients. Physiological
changes of the lungs with aging, the increased frequency in
pneumonia and pulmonary just a few embolisms with age, and the
decrease in receptors, to give examples, confront anesthetists with
difficulties. The maxim "in old age a little less" is also
applicable in this field. Only improved experimental gerontological
research, possibly reaching even into anesthesia, will provide
objective data for anesthesia in elderly patients. The skin is an
organ that experiences characteristic qualitative and quantitative
changes in old age."
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