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Emergency laparoscopic surgery in the elderly and frail patient (Paperback, 1st ed. 2021)
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Emergency laparoscopic surgery in the elderly and frail patient (Paperback, 1st ed. 2021)
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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.
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