Abdominal total hysterectomy

Abdominal total hysterectomy

The major emphasis of the L,ook. as its title implies, is on thtxrapp. Whether the ailment is carcinoma or pruritus vul\-aq enterocele or menstrual ir...

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The major emphasis of the L,ook. as its title implies, is on thtxrapp. Whether the ailment is carcinoma or pruritus vul\-aq enterocele or menstrual irregularity, the same thoroughness is used. Treatment is practical and well outlined. Sames of drugs together with dosage are clearly stated, while the main principles involved in operative procedures are described hlci-ology, and entlocrinolog~-. All are integrated into thtl pattern of the book in $0 uuobt~rusivc a way as to lle taken for !- a person wit.h trementlous rlinical and scientific background could protlucsc such a wealth of corrc~lnte~l informat ion in so f’ew worlls.

Abdominal

Total

Ill.,

1957,

Hysterectomy.

Charles

C Thomas,

1%~ Frank

Xusgrove.

Publisher.

$2.25.

32 pages:,

1X plates.

Springfield,

An unusual technique for performance of abdominal hysterect,omy is presented in a concise manner in this small book. This technique was flmt prcsentetl to the Royal Society of Medicine, London, 1955. If the line drawings at times leave something to the reader’s imagination, the text compensates for it in elaritr. The stated purposes in devising one more operative methot are: to surmount the technical difficulties duo to the position of the uterus; to reduce the possibility of injuq t,o the bladder and ureters; to facilitate closure, of the vaginal cuff and prevent postoperative prolapse of the vault. The first aim is fulfilled by mobilizing the uterus early in the course of the operation, the seconll II~ (loing what has long been strictly avoided by gynecologists-introducing a finger into the vagina after opening the posterior cul-de-sac from above, in order to support the bla~ldcr with the vaginal hamI while the other hand strips the bladder oft the lower segment anal cervix un(ler. tlirect rision. The third aim is accomplished by the use of specially devise11 clamps whi(zh clamp the cervical cuff. and by securing the CUE to the preserrell uterosacral ligamrrlt,a an11 the remainder of the cardinal ligaments. The author says that, in spite of the unorthorlosy of introducing one finger into the vagina, he has not ha(l a case of “ clinical peritonitis” in 1,00t1 hysterectomies of this type. preparation of the vagina Bacteriological studies on the vaginal flora prior to and after Ko case of “pathogens’! was fount1 in t-nlfures maclr after cleansing, while nerwere done. era1 were fount1 prior to it. It is unfortunate that, t,he author did not state what he conWhether one aplbrores or not of the new method the author shows siders a “pathogen.” evidence of excellent descriptive talent.

Therapeutic trations.

Clinical

Use of Artificial New

York,

Radioisotopes. 1956,

Use of Radioisotopes.

pages,

117 figures.

John

By Philadelphia,

W.

Wiley

Edited by Paul F. Hahn, & Sons, Jne. $1.0.00.

414 pages,

140 illus-

H. Beirwaltes, P. C. Johnson, and 9. J. SoIari. 1957, W. B. Saunders Company. $11.50.

456

These two excellent books cover much of the same ground but the latter (CEinicd Use of Radioisotopes) has the advantage of having been written by a team engaged in while the former is a collection teaching the subject to physicians and medical students, of 19 chapters contributed by an internatiorml array of authors. While both books provide some background in nuclear physics, dosimetry, biologic effects of radiation, and the essentials of setting up an isotope laboratory, the latter is In general, both books give more better adapted to the needs of newcomers to the field. space to the use of 1181 in thyroid disorders than to any other single topic. Other isotopes that are used clinically receive attention in rough proportion to the popularity of their use.