Abstrakt: |
Largely on account of the fact that prostatic obstruction occurs mostly in elderly persons, there is a higher percentage of aged patients encountered in urological surgery than in any other branch. Furthermore, this percentage is rising, since census and insurance figures show a constantly greater life expectancy and an increasing number of old persons.In considering the matter of age the chronological age in years does not always give an accurate picture of the physiological age, since some men are old at 55 while others are young at 70. We have all seen this. The lean, spry, pink-cheeked man of 70 plus will tolerate surgery better than the obese, flabby, pasty-faced man of sedentary habits who is only 60.Aged patientsundergoing surgery present a special problem. Their ability to maintain the physiological balance of their bodily processes when subjected to stresses, such as malnutrition, electrolyte imbalance, trauma, or surgery, is |