An up-to-the-minute, clinically oriented, and encyclopedic textbook of general surgery for all surgical residents, general surgeons, and medical students. Divided into eight sections, the text brings together the emerging leaders in surgery to concisely present and synthesize the key issues in the different surgical disciplines. Each chapter presents anatomy, physiology and associated scientific development, disease etiology and prevention, appropriate diagnostic procedures, treatment of benign and malignant disease, and well illustrated, technical discussion of how-to-do surgery. Color-coded tables summarize the evidence currently available for a wide variety of surgical treatment options. The text is augmented by a specially comisioned art program with more than 1000 illustrations to clearly depict surgical techniques. A CD-ROM packaged with the text provides a hypertext link to PubMed for every reference - invaluable for research.
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About the Editors:
Distinguished Editorial Board:
Jeffrey A. Norton, M.D.
Professor and Vice-Chairman of Surgery
University of California, San Francisco
Chief of Surgery, San Francisco
Veterans Affairs Medical Center
Head, Laboratory of Biological Therapy
San Francisco, California
R. Randal Bollinger, M.D., Ph.D.
Chief, Division of General Surgery
Professor of Surgery
Professor of Immunology
Duke University Medical Center
Durham, North Carolina
Alfred E. Chang, M.D.
Chief, Division of Surgical Oncology
Hugh Cabot Professor of Surgery
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan
Stephen F. Lowry, M.D.
Professor and Chairman
Department of Surgery
UMDNJ
Robert Wood Johnson Medical School
New Brunswick, New Jersey
Sean J. Mulvihill, M.D.
Professor of Surgery
Chief, Division of General Surgery
University of California, San Francisco
San Francisco, California
Harvey I. Pass, M.D.
Professor of Surgery and Oncology
Chief, Thoracic Oncology
Karmanos Cancer Institute,
Wayne State University
Harper Hospital
Detroit, Michigan
Robert W. Thompson, M.D.
Associate Professor of Surgery
Cell Biology & Physiology
Washington University School
of Medicine
St. Louis, Missouri
This book brings a fresh approach to the already strong group of comprehensive textbooks in general surgery. As its title states, it emphasizes the basic science underlying the practice of surgery and the evidence supporting clinical decisions. The book tells the reader not only how to perform surgery, but why. It is a textbook and not an atlas or history of surgery, but the authors do illustrate operations with clear-cut drawings, and they document important historical landmarks.
The first section, "Care of the Surgical Patient," consists of chapters on the science underlying the practice of surgery today. Shock, inflammation, nutrition, fluid and electrolyte balance, and other basic-science topics are comprehensively discussed by first-rate, mostly mid-career academic surgical scientists. Surgical science also appears in the clinically oriented sections of the book -- on gastrointestinal and abdominal disease, endocrine surgery, vascular surgery, cardiothoracic surgery, transplantation, and oncology. The sister fields of general surgery -- such as plastic surgery and pediatric surgery -- and the associated disciplines of orthopedic surgery, neurosurgery, and other specialized fields are also well covered. The text is clearly written, and the chapters are well illustrated. There is also a unique feature: several hundred evidence-based tables. These tables allow the reader to reach conclusions on the basis of data rather than on the basis of individual authors' experience or opinions. Another feature I like is the accompanying CD-ROM (enclosed inside the back cover of the book). This disk contains all the references cited in the book and allows the reader to call up the desired reference and, when specific Internet connections are used, often the abstract and even the complete article as well.
At first, when reading this large book at home in an easy chair under a soft light, I found the type small and the weight of the book a burden. Later, in the bright light of my office and with the book resting on my desk, the legibility was fine and the weight not a problem.
Considering that the seven editors chose 130 authors to write the 93 chapters, there is some variability within the book. Overall, however, the book hangs together, with its strong basic-science orientation and its emphasis on evidence-based decision making. The vast amount of material included in the book makes it fairly priced at $119.
This book will appeal to general surgical residents and medical students. Chief residents in surgery preparing for their board examinations will find this book especially helpful, because the chapters deal in a comprehensive way with the nine major areas of general surgery identified by the American Board of Surgery. The practicing surgeon will also find the book valuable as a source of information for everyday practice and for help with unusual cases. As a senior academic surgeon, I found the chapters useful as I was preparing lectures in my own areas of surgical interest, in which I have been working for years.
Keith A. Kelly, M.D.
Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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