Michael E. Zenilman – författare

"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients."This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review

More than two decades ago, in response to the special healthcare needs of the aging Ameriean population, interest in the field of geriatrie medieine began to grow and blossom in the United States. In 1984 and 1985, under the editorialleadership of Christine K. Cassel and William R. Hazzard, respectively, two major textbooks devoted to the medieal care of aged patients were published. These scholarly, comprehensive texts provided insight into the principles of aging and guidance in the care of the geriatrie patient. Three editions later, the need to understand the special issues involved in the medieal care of the elderly is widely accepted by intemists, primary care providers, and medieal specialists. For the editors of this book, the special issues involved in the surgieal care of the elderly have been apparent for nearly as long. Although there have been a few scholarly texts on the subject, including one in 1990 by Mark R. Katlic, general acceptance of the concept of geriatrie surgery by our surgieal and medieal colleagues has, however, lagged. This is not the result of a proportionately smaller number of older patients with surgieal disease, because cancer, cardiovascular disease, and orthopedie problems are diseases, of the aged. It is rather the result of uncertainty about the value of surgery in the elderly and concems about the risks of operations. In the past, such concems prevented primary care givers from referring patients for surgieal care and prevented surgeons from agreeing to operate.

This new edition builds upon the foundation of the first and second editions of the handbook, volumes separated by a decade of experience in the field, in a format that is both comprehensive and fluid. The combination of print and electronic versions will promote more rapid up-dating of chapters as new information appears. The Third Edition opens with general principles. The broad body of the volume encompasses diseases of the elderly and physiologic changes by system, as well as geriatric syndromes, perioperative management, and transitions of care into post-acute settings. The large concluding section is comprised of specialty-specific results of surgery in the elderly and suggested modifications recommended by experienced surgeons. Principles and Practice of Geriatric Surgery provides a comprehensive account that will allow all providers of healthcare to the elderly understand the issues involved in choosing surgery as a treatment option for their patients.