[Problems in the preoperative treatment of old patients]

Because of a higher duration of life the age surgical operations get higher importance also in the gynaecology. In elderly patients careful pre-operative treatment gives a reduction of lethality and morbidity. You must consider the shorted functional resources of the heart circulation system and the lungs and kindeys. Disturbances in electrolyte metabolism, water balance and acid-base regulation should optimally be compensated pre-operatively. At the same time the thrombosis prophylactic is a very important fact in the pre-operative treatment.