This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.

This unique and richly illustrated volume presents the state of the art in the comprehensive management of major neurosurgical diseases in the elderly (aged 65 and over). It explores all of the common neurosurgical pathologies affecting elderly patients, and emphasizes the paramount importance of tailored management strategies for quality of life. It highlights updated techniques for anaesthesia and critical care, as well as minimally invasive neurosurgical methods intended for this specific group of patients. Radiosurgery treatment is also discussed, in particular for brain tumours. In western societies, the proportion of elderly citizens has nearly reached 20%, and shows no signs of slowing down. The management of neurosurgical conditions in this particular population requires specific multidisciplinary strategies. To address this situation, a team of internationally respected contributors accurately describe degenerative and traumatic spinal diseases, which account for the majority of admissions among the elderly, as well as brain tumours and intracranial haemorrhages, aspects that are raising new ethical issues. The book mainly addresses the needs of neurosurgeons and geriatric neurologists, but also neuro-oncologists and neuro-anaesthesists working with elderly patients, as well as students in these disciplines.

The "Bone and Joint Decade" draws our attention with increased intensity to the problem of the changes related to aging of our musculoskeletal system and the associated socioeconomic implications. In view of the increasing age of the worldwide population the impact seems to be tremendous. The editors of The Aging Spine pick up this interesting topic and engage opinion leaders to contribute their knowledge in this supplement. The various contributions cover most of the important problems, which are included in the vast specter of aging spine: osteoporosis, spinal stenosis, and tumors of the spine. The aging spine will be an everpresent issue in the life of a physician taking care of the different pathologies of the spine. This text will help to better understand the nature of the different changes in the spine of the elderly. It contributes to enabling us to diagnose and to treat this complex problem in an appropriate way.

A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.

Ultrasound provides a unique diagnostic perspective in cerebrovascular disorders, with extremely high temporal resolution and excellent spatial display of extracranial arteries, brain structures and cerebral vessels. This comprehensive text covers the fundamentals of ultrasound physics, new technology, and clinical applications in all ages. It provides a firm grounding in hemodynamics and describes computational models for study of the cerebral circulation. Extracranial applications in assessing the carotid and vertebral arteries are discussed in detail, as are intracranial Doppler applications in stroke, subarachnoid hemorrhage, arteriovenous malformations, interventional and surgical procedures, and the detection and monitoring of cerebral microembolism. These and other topics, both clinical and technical, are presented by leading authorities in the field, with extensive illustrations, and tables are included for the standardized classification of cerebrovascular diseases based on international consensus conferences. For clinicians and clinical neuroscientists this is the definitive reference text in cerebrovascular ultrasound.

The challenge of treating complex spinal deformity often demands innovative solutions and greater skill than the initial surgical intervention; strategic planning is the critical element in successful surgical execution and outcome. Spinal Deformity: A Guide to Surgical Planning and Management, edited and written by the leading experts, is a landmark publication that provides critical information needed to safely plan, stage, and execute operations for the full range of complex spinal deformities. A Virtual Gold Mine of Information This book is an invaluable and practical tool for managing spinal deformities in your practice. Organized into four parts, it begins with a focus on recent advances in spine technology, starting with biomechanics, deformity classification, conservative management, and surgical indications. Subsequent chapters discuss technologic innovations, including spinal biologics, image guidance, and minimally invasive approaches for anterior and posterior spinal fusion. This introductory section is essential reading for the surgeon learning basic technique as well as for the experienced surgeon seeking to refine and enhance skills. The remaining parts focus on state-of-the-art surgical techniques for treating spinal deformity in the cervical spine, the thoracic spine, and the lumbosacral spine. Specific chapters have also been included on managing deformities at the cervicothoracic, thoracolumbar, and lumbosacropelvic junctions. In addition, both open and minimally invasive techniques are described. Organized with a consistent format, each technique chapter includes information on indications, planning and assessment, clinical problem solving, surgical technique, and postoperative care. A Who's Who of Spine Surgery The editors, Drs. Mummaneni, Lenke, and Haid; the part editors, Drs. Benzel, Kuklo, Resnick, and Shaffrey; and the contributors are world-renowned both neurosurgeons and orthopedic surgeons who have extensive experience in treating spinal deformity. Algorithms, Surgical Plans, and Tips and Tricks Aid in the Decision-Making Process Beautifully illustrated with step-by-step surgical technique, this book provides the practical advice, clinical nuances, and learning aids to assist you in the diagnosis and treatment of complex surgical deformities. Numerous imaging modalities are used to demonstrate the preoperative presentation as well as postoperative results. In addition, clinical problem-solving sections with treatment algorithms guide you in selecting the best surgical approach for each patient. Hundreds of case examples demonstrate the excellent results that can be achieved. To enhance the learning experience, an accompanying DVD with operative video is included.

These proceeding cover new trends presented at the IV Congress of the International Society of Reconstructive Neurosurgery (ISRN), 2015. ISRN is an “open” multidisciplinary society that deals with advances in spine and peripheral-nerve reconstructive surgery, central nervous system revascularization (surgical, radio interventional), neuromodulation, bioengineering and transplantation, which are the latest tools used to promote reconstruction, restoration and rehabilitation.

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.

Exploring the factors that drive the significant variation in the use of hospital beds by patients over the age of 65 who are admitted as an emergency, this book considers the factors which contribute to the length of stay and rate of admission.

This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.