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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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[Dermatosurgery in the elderly].

M Meissner1, R Kaufmann2

  • 1Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland. markus.meissner@kgu.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|January 9, 2016
PubMed
Summary
This summary is machine-generated.

The increasing elderly population presents unique challenges for dermatological surgery due to age-related physiological changes and multiple health conditions. This review addresses essential considerations, potential complications, and prevention strategies for treating older patients with skin tumors.

Keywords:
MultimorbidityPolypharmacySecondary healingSkin cancerSplit-thickness skin grafting

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Area of Science:

  • Geriatric Medicine
  • Dermatological Surgery
  • Oncology

Background:

  • Developed countries are experiencing a significant demographic shift with a growing elderly population.
  • Dermatological surgery faces unique challenges due to the high prevalence of skin tumors in older adults.
  • Age-related physiological changes, multimorbidity, and polypharmacy complicate surgical care for the elderly.

Purpose of the Study:

  • To outline critical aspects of care for elderly patients undergoing dermatological surgery.
  • To identify and discuss potential complications associated with surgical procedures in very old patients.
  • To describe selected surgical approaches tailored for the geriatric population.

Main Methods:

  • Review of current literature on geriatric dermatological surgery.
  • Analysis of age-related physiological changes and their impact on surgical outcomes.
  • Discussion of management strategies for multimorbidity and polypharmacy in surgical candidates.

Main Results:

  • Key considerations for patient selection and preoperative assessment are highlighted.
  • Common complications such as delayed wound healing and increased infection risk are identified.
  • Preventive measures and management strategies for optimizing surgical outcomes in the elderly are presented.

Conclusions:

  • Specialized approaches are necessary for the safe and effective surgical treatment of skin tumors in the elderly.
  • Addressing age-specific physiological and medical factors is crucial for minimizing complications.
  • Careful planning and tailored surgical techniques can improve outcomes for very old patients.