𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Advances in urology. B. Lytton, W. J. Catalona, L. Lipshultz, E. McGuire. 230 × 160 mm. Pp. 318. Illustrated. 1988. Chicago: Year Book Medical Publishers Incorporated. £35.50

✍ Scribed by J. C. Smith


Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
151 KB
Volume
76
Category
Article
ISSN
0007-1323

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✦ Synopsis


This volume contains 92 colour illustrations, the vast majority consisting of photographs of various stages of operations to insert axillofemoral and femorofemoral grafts. N o extra-anatomical bypass to the legs other than these two procedures is mentioned and while some may be disappointed by the incomplete coverage of the title topic, others will appreciate the concentrated effort made to describe what are, after all, by far the commonest two extra-anatomical operations.

The indications and aftercare relevant to the surgery are briefly covered and most space is given to the techniques of graft insertion. Perhaps because this is essentially a 'how I d o it' manual, it can appear dogmatic at times, with little attempt to discuss alternatives or grey areas. For instance, only standard Dacron8 is used as a graft, without mention of polytetrafluoroethylene, sealed Dacron or externally supported prostheses as possible alternatives. Similarly, routine drainage of vascular surgical wounds is advocated without any indication that this may not be a widespread practice. Thesc are only two of many examples which are all the more significant in a book without references or bibliography. Nevertheless, it cannot be denied that the omission of discussion of controversial points allows a clear and concise exposition which some may find attractive.

The most useful role for this book may be as an aid for the surgeon in training who might find its illustrations and commentary helpful when used in conjunction with a more extensive and referenced textbook of vascular surgery.