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Atlas of duplex ultrasonography
Jouma/of VASCULAR SURGERY
752 Book Reviews
perusing this book is the realization that almost any controversial topic in surgery can be researched, prepared, and presented in such a convincing fashion that a creditable and persuasive case for either side may be defended. In fact, out of 400 resident advocates taking part in 200 debates at that institution, 362 believed the position that they had presented, signifying a potentially dangerous and convincing persuasion from their literature search. Debaters were n o t permitted to equivocate or concede; therefore portions of subsequent discussions could give irresponsible impressions when taken out of context. It would appear that the purpose for these debates was fulfilled in that controversial issues in clinical surgery were delineated and critiqued rigorously with convincing arguments being made by both sides. Undoubtedly those who profited the most from these debates were the residents as a result of their study and preparation. The concept of the book is somewhat unique, material is well presented, advocates are very convincing, and selection of subject material should stimulate the interest of a wide variety of surgical readers. Alfred Robert CordeR,ME) Bowman Gray SchoolofMedicine
Atlas o f duplex ultrasonography Sergio X. Salles-Cunha and George Andros. Pasadena, 1988, Appleton Davies, Inc., 214 pages, $79.00. This book should be considered a basic text, serving as an introduction to the varied applications o f ultrasound in the work-up of vascular disease. Given the size of this text and the large number of vessels to be covered, the breadth of diseases and depth of discussion presented here are necessarily limited. In addition, coverage of duplex Doppler physics and the technical details involved with the vascular examinations is brief. As such, this book must be supplemented by further reading from the annotated bibliographies given and from unlisted, more current sources. The ultrasound images are of moderate quality but demonstrative, and the accompanying illustrations are helpful. The most extensive chapter, "Extracranial cerebrovascular disease of the neck," covers the following vascular problems: stenosis, plaque, normal variants, fibromuscular dysplasia, aneurysm, dissection, occlusion, artetitis, grafts, and intraoperative evaluation. The chapter on lowerextremity arterial evaluation is distinguished by its images of various grafts and their complications. Excellent images of lower extremity veins are presented in another chapter. The peripheral vascular discussion also includes a well-produced chapter on the upper extremity arteries and veins, which emphasizes grafts and fistulas. Two additional chapters contain a very brief overview of duplex Doppler ultrasonography of abdominal vessels and a discussion of arteriovenous fistulas. For completeness, a chapter addressed the incidentally discovered perivascular cyst. The importance of detecting nonvascular disease during a routine duplex examination cannot be overem-
phasized. Color Doppler is introduced in a separate, short chapter, which contains some basic representative images. In conclusion, this book is well suited to the vascular surgeon-in-training as an introduction to the field of duplex Doppler ultrasound. Bernadette Keefe, MD University of North Carolina at Chapel Hill
A colour atlas o f surgical management o f venous disease C. Vanghan Ruckley. Chicago, 1988, Wolfe Medical Publications, Ltd., distributed by Year Book Medical Publishers, Inc. 127 pages. $150.00. In writing on the Social Tramformation of American Medicine, Patti Starr of Harvard observed that, "Modern medicine is one of those extraordinatry works of reason: an elaborate system of specialized knowledge, technical procedures, and rules of behavior." In this slim but large formatted (10 x 12 inches) volume, Vaughan Ruckley has succeeded in compressing all information necessary to apply these three works of reason to vein surgery. Admittedly, he is aided by two excellent photographers. Also his publisher has succeeded in reproducing the photographs in vivid, even exciting, color. Nevertheless, credit goes to Ruckley for this tour de force. Ruckley's name is not famous in America. However, those interested in venous work know him. He has given us a color arias on varicose vein surgery and articles on outpatient vein surgery, and has been concerned recently with lyric therapy for venous thrombosis. This arias will contribute to his fame. It is good work. Although this is a surgical atlas, it contains a cogent summary of physiology and pathophysiology. His anatomic diagrams are accurate and his photographs of preoperative testing are informative. It is a true arias in its depiction of techniques, but it is more than an explication of mechanics. Some of the most memorable photos are clinical (phlegmasia cerulea dolens), pathologic documentation (excised first rib, thrombectomy specimens), and even postmortem (vena cava thrombosis above and below a Mobin-Uddin filter). When teaching surgery of the veins, Ruckley is complete. He shows patient positioning, leg elevation, use of tourniquets, placement of incisions, dissection, wound closure, and after care. He shows panel graft and spiral vein construction, stab avulsion, skin marking, and how to load a Greenfield filter. This is a book for every general surgeon's library. On opening its pages the surgical resident will be reminded of his first look through a microscope. A practicing surgeon will see a way to update and upgrade his operations. Vascular surgeons who see endovascular techniques making their operating rooms less used will see a way to spend more time in the surgical suite. If they do, surgical care of vein problems will improve; more patients will be treated to better care. John J. Bergan, MD
752 Book Reviews
perusing this book is the realization that almost any controversial topic in surgery can be researched, prepared, and presented in such a convincing fashion that a creditable and persuasive case for either side may be defended. In fact, out of 400 resident advocates taking part in 200 debates at that institution, 362 believed the position that they had presented, signifying a potentially dangerous and convincing persuasion from their literature search. Debaters were n o t permitted to equivocate or concede; therefore portions of subsequent discussions could give irresponsible impressions when taken out of context. It would appear that the purpose for these debates was fulfilled in that controversial issues in clinical surgery were delineated and critiqued rigorously with convincing arguments being made by both sides. Undoubtedly those who profited the most from these debates were the residents as a result of their study and preparation. The concept of the book is somewhat unique, material is well presented, advocates are very convincing, and selection of subject material should stimulate the interest of a wide variety of surgical readers. Alfred Robert CordeR,ME) Bowman Gray SchoolofMedicine
Atlas o f duplex ultrasonography Sergio X. Salles-Cunha and George Andros. Pasadena, 1988, Appleton Davies, Inc., 214 pages, $79.00. This book should be considered a basic text, serving as an introduction to the varied applications o f ultrasound in the work-up of vascular disease. Given the size of this text and the large number of vessels to be covered, the breadth of diseases and depth of discussion presented here are necessarily limited. In addition, coverage of duplex Doppler physics and the technical details involved with the vascular examinations is brief. As such, this book must be supplemented by further reading from the annotated bibliographies given and from unlisted, more current sources. The ultrasound images are of moderate quality but demonstrative, and the accompanying illustrations are helpful. The most extensive chapter, "Extracranial cerebrovascular disease of the neck," covers the following vascular problems: stenosis, plaque, normal variants, fibromuscular dysplasia, aneurysm, dissection, occlusion, artetitis, grafts, and intraoperative evaluation. The chapter on lowerextremity arterial evaluation is distinguished by its images of various grafts and their complications. Excellent images of lower extremity veins are presented in another chapter. The peripheral vascular discussion also includes a well-produced chapter on the upper extremity arteries and veins, which emphasizes grafts and fistulas. Two additional chapters contain a very brief overview of duplex Doppler ultrasonography of abdominal vessels and a discussion of arteriovenous fistulas. For completeness, a chapter addressed the incidentally discovered perivascular cyst. The importance of detecting nonvascular disease during a routine duplex examination cannot be overem-
phasized. Color Doppler is introduced in a separate, short chapter, which contains some basic representative images. In conclusion, this book is well suited to the vascular surgeon-in-training as an introduction to the field of duplex Doppler ultrasound. Bernadette Keefe, MD University of North Carolina at Chapel Hill
A colour atlas o f surgical management o f venous disease C. Vanghan Ruckley. Chicago, 1988, Wolfe Medical Publications, Ltd., distributed by Year Book Medical Publishers, Inc. 127 pages. $150.00. In writing on the Social Tramformation of American Medicine, Patti Starr of Harvard observed that, "Modern medicine is one of those extraordinatry works of reason: an elaborate system of specialized knowledge, technical procedures, and rules of behavior." In this slim but large formatted (10 x 12 inches) volume, Vaughan Ruckley has succeeded in compressing all information necessary to apply these three works of reason to vein surgery. Admittedly, he is aided by two excellent photographers. Also his publisher has succeeded in reproducing the photographs in vivid, even exciting, color. Nevertheless, credit goes to Ruckley for this tour de force. Ruckley's name is not famous in America. However, those interested in venous work know him. He has given us a color arias on varicose vein surgery and articles on outpatient vein surgery, and has been concerned recently with lyric therapy for venous thrombosis. This arias will contribute to his fame. It is good work. Although this is a surgical atlas, it contains a cogent summary of physiology and pathophysiology. His anatomic diagrams are accurate and his photographs of preoperative testing are informative. It is a true arias in its depiction of techniques, but it is more than an explication of mechanics. Some of the most memorable photos are clinical (phlegmasia cerulea dolens), pathologic documentation (excised first rib, thrombectomy specimens), and even postmortem (vena cava thrombosis above and below a Mobin-Uddin filter). When teaching surgery of the veins, Ruckley is complete. He shows patient positioning, leg elevation, use of tourniquets, placement of incisions, dissection, wound closure, and after care. He shows panel graft and spiral vein construction, stab avulsion, skin marking, and how to load a Greenfield filter. This is a book for every general surgeon's library. On opening its pages the surgical resident will be reminded of his first look through a microscope. A practicing surgeon will see a way to update and upgrade his operations. Vascular surgeons who see endovascular techniques making their operating rooms less used will see a way to spend more time in the surgical suite. If they do, surgical care of vein problems will improve; more patients will be treated to better care. John J. Bergan, MD