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J R Soc Med 2008;101:409-415
doi:10.1258/jrsm.2008.080035
© 2008 Royal Society of Medicine

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Review

Geriatric surgery is about disease, not age

Stephen D Preston1 Ashley RD Southall General Practice Trainee  2 Mark Nel3   Saroj K Das4

1 Cellular Pathology, Southampton University Hospitals NHS Trust Tremona Road, Southampton SO16 6YD, UK
2 Lister Hospital Corey's Mill Lane, Stevenage, Hertfordshire SG1 4AB, UK
3 Department of Anaesthesia, The Hillingdon Hospital NHS Trust Pield Heath Road, Uxbridge, Middlesex UB8 3NN, UK
4 Department of Surgery, The Hillingdon Hospital NHS Trust Pield Heath Road, Uxbridge, Middlesex UB8 3NN, UK

Correspondence to: Saroj K Das Saroj.das{at}imperial.ac.uk

SUMMARY

Maintaining life span and quality of life remains a valid aim of surgery in elderly people. Surgery can be an effective way of restoring both length and quality of life to older people. Minimally invasive techniques and surgery under local anaesthesia make fewer demands on geriatric physiology; given that co-morbidity is a stronger predictor of outcome from surgery than age, this is a significant consideration.


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