Intraoperative Factors Influencing Postoperative Outcomes in Older Patients Undergoing Abdominal Surgery—Narrative Review

Mastalerz, Kinga; Kenig, Jakub; Skorus, Urszula

doi:10.1007/s12262-018-1804-6

Cited by 3 publications

(3 citation statements)

References 47 publications

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“…The term surgical risk is defined as the likelihood of serious complications or death of patients occurring during general anesthesia, surgery or directly afterwards [1,2]. In older people, every surgical procedure may involve the occurrence of complications.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Surgical Procedures in People of Geriatric Age

Wróblewska,

Piotr Chmielewski,

Motyl

et al. 2024

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Background. The aim of the study was analysis of the type of surgical operations conducted in geriatric age patients and factors impacting wound healing and the well-being of seniors. Material and methods.The study was conducted from July 2022 to April 2023, involving a group of 209 participants residing in surgical wards. The selection criteria included being aged 65 years and above, having gone through a surgical operation and allowing access to full medical records. The study used a self-developed questionnaire, as well as standardized scales: VAS, SGA and SSCh. The verification for existing relationships was conducted using the Chisquare test, with a statistical significance set at p=0.05.Results. The majority of the participating sample were males (N=125; 58.81%), and aged 79 and above (N=146; 69.85%). No microbiological test was conducted prior to the surgery in the majority of the participants (N=203; 97.13%). The most common procedures conducted were hernia surgeries (N=48; 22.97%) and proctologic procedures (N=46; 22.00%). Prior to the procedure, the skin was clean (N=150; 71.77%). The surgery was most often performed on patients above the age of 79 years (N=146; 69.85%).Conclusions. The number of conducted surgical operations increases with age. The procedures most commonly carried out on senior patients are planned hernia surgeries and proctologic procedures.

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Section: Introductionmentioning

confidence: 99%

“…Cellular immunity, for which T lymphocytes are primarily responsible, weakens. In this period, cytokines regenerate more slowly, resulting in a weaker reaction to antigens [2]. The antioxidant system capacity changes as well, which is accompanied by an increase in free radicals in the blood and tissues.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Surgical Procedures in People of Geriatric Age

Wróblewska,

Piotr Chmielewski,

Motyl

et al. 2024

hpc

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“…A number of intraoperative factors influence the magnitude of acute trauma responses, including type of anaesthesia, location and extent of surgery, mode of surgery (elective, emergency), duration of surgery, intraoperative blood loss, technique of surgery, postioning on the surgical table, hypothermia, experience of surgeon and anaesthesiologist, among others [17].…”

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Oncogeriatrics (part 3.) Influence of surgical trauma on older patients

Kenig

2019

Nowotwory. Journal of Oncology

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In the elderly, there is a unique situation where factors resulting from the ageing process and the cumulative effect of accompanying diseases interact with severe stress associated with surgery. Currently, there is no effective way to pharmacologically influence the course of pro-and anti-inflammatory responses. Therefore, surgeons should attempt to limit potential risks during procedures by conducting scheduled surgery, positioning the patient in the safe way, using minimally invasive surgical techniques, limiting intraoperative blood loss-even at the expense of prolonged surgical time, avoiding hypothermia and working in an experienced surgical and anaesthetic team. Such elements are of paramount importance for older patients undergoing surgery, particularly with frailty syndrome.

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