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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.
Pages i-xiv
Pages 1-1
How to Define an Elderly and Frail Patient?
Ferdinando Agresta, Carlo Bergamini, Mauro Podda, Fabio Cesare Campanile, Gabriele Anania, Stefano Volpato et al.
Pages 3-18
Defining the Burden of Emergency General Surgery in the Elderly Today
Elisa Cassinotti, Luigi Boni, Ludovica Baldari
Pages 19-30
A Worldwide Overview of Emergency Laparoscopic Procedure in the Elderly
Giancarlo D’Ambrosio, Andrea Picchetto, Stefania La Rocca, Francesca De Laurentis, Laura Rossi, Antonio Crucitti
Pages 31-39
The Economic Burden of Emergency Abdominal Surgery in the Elderly: What Is the Role of Laparoscopy?
Emidia Vagnoni
Pages 41-52
Goals of Care in Emergency Abdominal Surgery in the Elderly and Frail Patient
Antonino Agrusa, Giuseppe Di Buono, Salvatore Buscemi, Francesco Saverio Latteri, Antonio Giuseppe Biondi, Giorgio Romano
Pages 53-60
Wound Healing in Elderly and Frail Patients
Valerio Caracino, Pietro Coletta, Piergaspare Palumbo, Simone Castiglioni, Diletta Frazzini, Massimo Basti
Pages 61-69
Pages 71-71
Fabio Cesare Campanile, Monica De Angelis, Elisabetta Santucci, Ilaria Vecchioni
Pages 73-85
Cholangitis and Choledocholithiasis
Gennaro Perrone, Federica Gaiani, Andrea Morini, Mario Giuffrida, Gian Luigi de’ Angelis, Fausto Catena et al.
Pages 87-93
Irnerio Angelo Muttillo, Federico Coccolini, Biagio Picardi, Stefano Rossi, Edoardo Maria Muttillo, Ferdinando Agresta
Pages 95-103
Acute Pancreatitis Management in Elderly/Frail Patients
Angelo Iossa, Gianfranco Silecchia
Pages 105-110
Mauro Podda, Gaetano Poillucci, Chiara Gerardi, Nicola Cillara, Leonardo Montemurro, Giulia Russo et al.
Pages 111-120
Riccardo Brachet-Contul, Lorenzo Cinti, Mario Junior Nardi, Salvatore Condurro, Paolo Millo, Daniele Marrelli
Pages 121-127
Perforated Gastroduodenal Ulcer
Gabriele Anania, Alberto Campagnaro, Francesco Marchetti, Giuseppe Resta, Roberto Cirocchi
Pages 129-139
Gastric Outlet Obstruction in the Elderly
Marcello Pisano, Corrado Gromo, Francesco Autuori, Antonio Lai, Federica Frongia, Giuseppe Esposito et al.
Pages 141-152
Alberto Arezzo, Giacomo Lo Secco, Giovanni Distefano, Edoardo Forcignanò, Mario Morino
Pages 153-161
Monica Ortenzi, Sophie Williams, Amyn Haji, Roberto Ghiselli, Mario Guerrieri
Pages 163-180
Carlo Alberto Ammirati, Marco Ettore Allaix, Mauro Zago
Pages 181-186
Incarcerated Inguinal and Crural Hernias
Alberto Sartori, Umberto Bracale, Andrea Bianchin, Emanuele Pontecorvi, Jacopo Andreuccetti, Vania Silvestri et al.
Pages 187-195
Incarcerated Incisional and Ventral Hernias in the Elderly and Frail Patient
Diego Cuccurullo, Carlo Sagnelli, Ernesto Tartaglia, Giovanni D’Alterio
Pages 197-202
Abdominal Trauma in the Elderly
Francesco Virdis, Matthew Martin, Mansoor Khan, Isabella Reccia, Gaetano Gallo, Mauro Podda et al.
Pages 203-213
Laparoscopic Approach to Acute Mesenteric Ischemia in Elderly Patients
Marco Milone, Anna D’Amore, Michele Manigrasso, Bruno Amato
Pages 215-219
Giovanni Bellanova, Simone Frassini, Stefania Cimbanassi, Osvaldo Chiara, Sergio Ribaldi, Gregorio Tugnoli
Pages 221-225
Emanuele Botteri, Giulia Montori, Luca Ansaloni, Federico Coccolini
Pages 227-233
Bedside Laparoscopy in the Elderly and Frail Patient
Carlo Bergamini, Giovanni Alemanno, Alessio Giordano, Alessandro Bruscino, Gherardo Maltinti, Desiré Pantalone et al.
Pages 235-244
Emergency Video-Assisted Thoracoscopy in the Elderly
Nicola Tamburini, Francesco D’Urbano, Pio Maniscalco, Francesco Quarantotto, Francesco Bagolini, Alessandro Bertani et al.
Pages 245-250
Palliative Surgery for Oncologic Elderly Patients in Emergency
Nereo Vettoretto, Emanuele Botteri, Dhimiter Cuka, Alessandra Marengoni, Giuseppe Romanelli
Pages 251-258
Emergency Robotic Surgery for Acute Abdomen in the Elderly
Wanda Petz, Paolo Pietro Bianchi, Graziano Pernazza, Graziano Ceccarelli
Pages 259-265
Pages 267-267
Enhanced Recovery After Emergency Surgery in the Elderly
Ugo Elmore, Andrea Vignali, Giulia Maggi, Roberto Delpini, Riccardo Rosati
Pages 269-274
Antibiotics in Emergency Abdominal Surgery in the Elderly
Massimo Sartelli
Pages 275-279
Imaging and Interventional Radiology in Emergency Abdominal Surgery in the Elderly
Francesca Iacobellis, Gianluca Rasetto, Antonio Brillantino, Marco Di Serafino, Roberto Rizzati, Luigia Romano
Pages 281-289
Anesthesia and Emergency Laparoscopy in the Elderly Patient
Concezione Tommasino
Pages 291-300
Roberta Monzani
Pages 301-306
The Geriatrician Point of View
Stefano Volpato
Pages 307-315
Perioperative Nutritional Management of Elderly Patients
Nicolò Pecorelli, Maria Teresa Salvioni, Alessia Vallorani, Giovanni Guarneri
Pages 317-326
Emergency Laparoscopy in the Elderly and Frail Patient: Perioperative Nursing Considerations
Salvatore Casarano, Pierpaolo Pizzolante, Dario Galati
Pages 327-333
Shared Decision-Making at the End of Life
Antonio G. Spagnolo, Barbara Corsano, Dario Sacchini
Pages 335-342
Minimally Invasive Surgery in the Elderly and Frail Patient in the COVID-19 Era
Emanuele Botteri, Alberto Sartori, Marco Giovenzana, Beatrice Giuliani, Giacomo Piatto, Andrea Balla et al.
Pages 343-348
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