title: [Elective simultaneous operations in elderly and senile urological patients].
abstract: Surgeons of Samara Regional Veterans' Hospital made elective-simultaneous operations in 229 presenile and senile patients. Surgery was performed in the urological department in 1995-2010. It is shown that over 12% patients of urological geriatric departments need elective situltaneous operations, of them 8.7% are mild, 78.6%--moderate and 12.7%--severe. The results of simultaneous operations in 133 patients and staged operations in 60 control patients (adenomectomy and Vinkelman) differed insignificantly (p > 0.05). Such achievement was realized due to advanced prophessional education of all medical personnel of the department, introduction of new techniques in examination and treatment: accurate definition of absolute and relative contraindications for simultaneous surgery, effective preoperative preparation, low-invasive operations, different variants of non-endotracheal anesthesia. In addition to a positive clinical effect, new technology of simultaneous operations reduces 2.3-fold economic costs vs staged surgery, improves significantly quality of life of the above patients.
authors: I G
authors: IG
authors: Leshchenko
authors: O G
authors: OG
authors: Iakovlev
authors: I Iu
authors: IIu
authors: Lazarev
authors: I V
authors: IV
authors: Shatokhina
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D017558:Elective Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006299:Health Services for the Aged / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D008875:Middle Aged; D011788:Quality of Life; D012426:Russia / Q000453:epidemiology; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods* / Q000706:statistics & numerical data