Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgery in the nineties.

D Rigberg1, M Cole, D Hiyama

  • 1Division of General Surgery, UCLA Medical Center, Los Angeles, California, USA.

The American Surgeon
|September 19, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Corrigendum to Diffusion MRI measures detect brain microstructure changes due to early treatment with neurotrophic peptide mimetic P021 in the 3xTg-AD mouse model of Alzheimer's disease. Magn Reson Imaging. 2026 Jun;129:110641 Page: 9.

Magnetic resonance imaging·2026
Same author

Diffusion MRI measures detect brain microstructure changes due to early treatment with neurotrophic peptide mimetic P021 in the 3xTg-AD mouse model of Alzheimer's disease.

Magnetic resonance imaging·2026
Same author

<i>Bordetella pertussis</i> exhibits genomic diversity within patients and laboratory culture.

mSystems·2025
Same author

Using systems mapping to understand the constraints and enablers of solutions to plastic pollution.

Journal of environmental management·2024
Same author

Electronic Nicotine Vapor Exposure Produces Differential Changes in Central Amygdala Neuronal Activity, Thermoregulation and Locomotor Behavior in Male Mice.

eNeuro·2021
Same author

TRAFIC: statistical design and analysis plan for a pragmatic early phase 1/2 Bayesian adaptive dose escalation trial in rheumatoid arthritis.

Trials·2021
Same journal

What the Salary Rankings Miss About Pediatric Surgery: Readiness, Not Compensation.

The American surgeon·2026
Same journal

Contrast Without Clarity: The Questionable Role of Oral Contrast in Detecting Missed Hollow Viscus Injury.

The American surgeon·2026
Same journal

Learning Surgery's Moral Questions: Mentorship, Reflection, and Professional Formation.

The American surgeon·2026
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
See all related articles

Major general surgery in nonagenarians (patients 90+ years) shows low mortality, especially for elective procedures. Emergency surgeries carry higher risks but remain acceptable given patient comorbidities.

Area of Science:

  • Geriatric Surgery
  • Perioperative Care
  • General Surgery Outcomes

Background:

  • The U.S. population is aging, with a growing number of individuals over 65.
  • Limited data exists on surgical outcomes for nonagenarians (patients aged 90 and above).
  • Previous reports indicate high mortality rates (up to 45%) for surgery in this age group.

Purpose of the Study:

  • To review the experience and outcomes of major general surgical procedures in nonagenarians.
  • To assess the perioperative safety and risk associated with surgery in patients aged 90 years and older.
  • To evaluate the impact of elective versus emergency surgery on outcomes in this population.

Main Methods:

  • Retrospective chart review of patients aged 90 years or older undergoing general surgery.

Related Experiment Videos

  • Data collected from UCLA Medical Center between 1986 and the study period.
  • Analysis included patient demographics, diagnoses, comorbidities, procedure type (elective/emergency), and outcomes (mortality, morbidity, length of stay).

    • Main Results:

    • Thirty-two nonagenarian patients were identified; 87.5% had significant premorbid conditions.
    • Overall perioperative mortality was 9.4% (3/32), with all deaths occurring in the emergency surgery group (13.6%).
    • Overall morbidity was 57%; elective surgery had 0% mortality and 20% morbidity, while emergency surgery had 13.6% mortality and 68% morbidity.

    Conclusions:

    • Elective general surgery in nonagenarians demonstrates favorable perioperative safety with 0% mortality.
    • Emergency general surgery in nonagenarians, despite significant comorbidities, presents an acceptable risk profile with a 13.6% mortality rate.
    • Most nonagenarian patients achieved acceptable functional outcomes post-surgery, supporting the feasibility of these interventions.