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Atlas of Applied Vascular Surgery
96 The Annals of Thoracic Surgery Vol 24 No 1 July 1977
some of the world’s experts in their respective fields of interest. It is obvious from their use of the language that they are attempting to communicate with readers who are at beginning and intermediate levels of training as well as with those having advanced knowledge and experience in this speciality. Among my personal disappointments with this volume is that in the preface, the editor appears to have summarily reduced the investment of many years of education, laboratory and clinical investigations, and the persistent efforts required to develop the technique of intravenous hyperalimentation into a reasonably safe and effective therapeutic tool to a mere “engineering” feat. In the otherwise thoughtful chapter on indications, the author in his opening paragraph unfortunately not only displays, but appears to flaunt, his lack of knowledge of etymology. The chapter on the manufacturing pharmacy is replete with information that might be of considerable interest to other pharmacists but seems to contain more than what the average student, nurse, or physician would ordinarily care or need to know about this otherwise important and specialized area of total parenteral nutrition. A few other chapters are somewhat lengthy and encyclopedic relative to the amount of useful and practical knowledge they impart. The book jacket includes the statement that ”Included are chapters on elemental diets, an aspect of parenteral nutrition not administered intravenously . . .” The clear meaning and derivation of the term parenteral is, by any other route than the enteral or gastrointestinal tract. Elemental diets are designed and formulated for enteral administration and cannot be given parenterally to man. This is another etymological detraction which tends to propagate misconception and confusion rather than to accomplish the basic educational goals of the book. The editor has done an excellent job of organizing and integrating the content of the individual chapters, and the publishers are to be commended for their craftmanship in producing this volume. Viewed overall, this is a well-written, well-organized, easily readable, and highly instructive manual on a timely and important aspect of patient care.
Houston, TX Atlas of Applied Vascular Surgery B y Kiyoshi Inokuchi, M.D., Ph.D., and Akira Kusaba, M.D. I. B. Lippincott C o m p a n y , Philadelphia, 1975 198 p p , illustrated, $57.00
Reviewed b y William S . D y e , M . D . In the preface to this book the senior author emphasizes that their focus is,on the clinical applications of a vessel anastomosis apparatus, the stapler, and that the term applied vascular surgery includes a number of rather unusual procedures in which this
apparatus plays a prominent part. The first three chapters are devoted to detailed accounts of the history, design, and use of the vascular stapler. The authors’ experience is based on more than 700 patients in whom the stapler was used 1,000 times. The drawings indicate the intricate design of the stapler. Use of the stapler obviously requires individual practice. The fourth, fifth and seventh chapters concern the more usual applications in vascular surgery, but even here unusual procedures are outlined. The fourth chapter concerns vascular injury and primarily considers the techniques of reimplantation of a severed extremity. The fifth chapter relates the authors’ experience with vascular reconstruction for arterial occlusive disease. A standard femoropopliteal autogenous saphenous vein bypass graft in situ is shown. The stapler is again used for bringing down the trumpetshaped end of the free graft for the distal anastomosis and then making an end-to-end anastomosis with the stapler to the proximal graft. The rest of the chapter is devoted to the surgical approach to more difficult diffuse arterial occlusions of the popliteal artery and its branches. The standard femoropopliteal bypass is first detailed, followed by an open endarterectomy of the popliteal artery with a long vein patch. An arteriovenous shunt is created at the popliteal level and can be made using the tibial or peroneal venous branch. The authors prefer the latter. In addition, with further obstruction beyond the popliteal trifurcation, another bypass may be made from the reconstructed popliteal artery to the distal tibial artery. The remainder of this chapter concerns autogenous vein grafting and open endarterectomy for Takayashu’s disease of the carotid artery, and it describes an unusual approach to treating coarctation of the aorta using an innominate-abdominal aortic bypass graft that passes retrosternally and then is anastomosed to the abdominal aorta. Chapter 6 concerns reconstruction of the esophagus. The cervical esophagus is repaired using a free jejunal segment transplant. The artery and vein from this free transplant are anastomosed to appropriate branches in the neck. In addition, the authors show the technique of revascularization of the gastric tube used for thoracic esophageal reconstruction. The seventh chapter concerns surgical treatment of portal hypertension. It provides an excellent review of their technique of using free common iliac vein bifurcation grafts to establish a wide anastomosis to the renal vein during splenorenal shunt. In addition, the authors outline their technique of “controlled splenorenal shunt,” which includes checking the postoperative angiograms for the degree of forward portal flow and also measuring pressures and flow in the shunt. The technique of left gastric-vena caval shunt is also shown. Alternative anastomotic methods such as anastomosis to the spermatic or ovarian, adrenal, or renal arteries are described. Follow-up studies on varices and shunt patency are outlined in a high proportion of their patients.
97 Review of Recent Books
Chapter 8 concerns surgical hormone therapy for advanced breast cancer and the use of an applied vascular procedure-namely, suprarenal-inferior mesenteric venous shunt-for advanced metastatic carcinoma of the breast. Chapter 9 describes the treatment of glycogen storage disease using an endto-side mesenteric vein-vena caval anastomosis. Chapter 10 outlines the advantages of the vascular stapler for anastomosing the artery in kidney transplantation, thereby reducing operating time. Chapter 11shows the use of the vascular stapler in tuba1 anastomosis. Finally, the Appendix discusses animal experimentation in the use of the vascular stapler.
The book is well illustrated with line drawings, and clinical results are included with each procedure. The book is highly recommended to those interested in developing techniques using the vascular stapler, and it belongs in any center where such training programs are going on. The information on application of vascular surgery in unusual ways is especially interesting. It is not a book for the aspiring vascular surgeon who is looking for an atlas on techniques for many standard vascular operations. Chicago, IL
some of the world’s experts in their respective fields of interest. It is obvious from their use of the language that they are attempting to communicate with readers who are at beginning and intermediate levels of training as well as with those having advanced knowledge and experience in this speciality. Among my personal disappointments with this volume is that in the preface, the editor appears to have summarily reduced the investment of many years of education, laboratory and clinical investigations, and the persistent efforts required to develop the technique of intravenous hyperalimentation into a reasonably safe and effective therapeutic tool to a mere “engineering” feat. In the otherwise thoughtful chapter on indications, the author in his opening paragraph unfortunately not only displays, but appears to flaunt, his lack of knowledge of etymology. The chapter on the manufacturing pharmacy is replete with information that might be of considerable interest to other pharmacists but seems to contain more than what the average student, nurse, or physician would ordinarily care or need to know about this otherwise important and specialized area of total parenteral nutrition. A few other chapters are somewhat lengthy and encyclopedic relative to the amount of useful and practical knowledge they impart. The book jacket includes the statement that ”Included are chapters on elemental diets, an aspect of parenteral nutrition not administered intravenously . . .” The clear meaning and derivation of the term parenteral is, by any other route than the enteral or gastrointestinal tract. Elemental diets are designed and formulated for enteral administration and cannot be given parenterally to man. This is another etymological detraction which tends to propagate misconception and confusion rather than to accomplish the basic educational goals of the book. The editor has done an excellent job of organizing and integrating the content of the individual chapters, and the publishers are to be commended for their craftmanship in producing this volume. Viewed overall, this is a well-written, well-organized, easily readable, and highly instructive manual on a timely and important aspect of patient care.
Houston, TX Atlas of Applied Vascular Surgery B y Kiyoshi Inokuchi, M.D., Ph.D., and Akira Kusaba, M.D. I. B. Lippincott C o m p a n y , Philadelphia, 1975 198 p p , illustrated, $57.00
Reviewed b y William S . D y e , M . D . In the preface to this book the senior author emphasizes that their focus is,on the clinical applications of a vessel anastomosis apparatus, the stapler, and that the term applied vascular surgery includes a number of rather unusual procedures in which this
apparatus plays a prominent part. The first three chapters are devoted to detailed accounts of the history, design, and use of the vascular stapler. The authors’ experience is based on more than 700 patients in whom the stapler was used 1,000 times. The drawings indicate the intricate design of the stapler. Use of the stapler obviously requires individual practice. The fourth, fifth and seventh chapters concern the more usual applications in vascular surgery, but even here unusual procedures are outlined. The fourth chapter concerns vascular injury and primarily considers the techniques of reimplantation of a severed extremity. The fifth chapter relates the authors’ experience with vascular reconstruction for arterial occlusive disease. A standard femoropopliteal autogenous saphenous vein bypass graft in situ is shown. The stapler is again used for bringing down the trumpetshaped end of the free graft for the distal anastomosis and then making an end-to-end anastomosis with the stapler to the proximal graft. The rest of the chapter is devoted to the surgical approach to more difficult diffuse arterial occlusions of the popliteal artery and its branches. The standard femoropopliteal bypass is first detailed, followed by an open endarterectomy of the popliteal artery with a long vein patch. An arteriovenous shunt is created at the popliteal level and can be made using the tibial or peroneal venous branch. The authors prefer the latter. In addition, with further obstruction beyond the popliteal trifurcation, another bypass may be made from the reconstructed popliteal artery to the distal tibial artery. The remainder of this chapter concerns autogenous vein grafting and open endarterectomy for Takayashu’s disease of the carotid artery, and it describes an unusual approach to treating coarctation of the aorta using an innominate-abdominal aortic bypass graft that passes retrosternally and then is anastomosed to the abdominal aorta. Chapter 6 concerns reconstruction of the esophagus. The cervical esophagus is repaired using a free jejunal segment transplant. The artery and vein from this free transplant are anastomosed to appropriate branches in the neck. In addition, the authors show the technique of revascularization of the gastric tube used for thoracic esophageal reconstruction. The seventh chapter concerns surgical treatment of portal hypertension. It provides an excellent review of their technique of using free common iliac vein bifurcation grafts to establish a wide anastomosis to the renal vein during splenorenal shunt. In addition, the authors outline their technique of “controlled splenorenal shunt,” which includes checking the postoperative angiograms for the degree of forward portal flow and also measuring pressures and flow in the shunt. The technique of left gastric-vena caval shunt is also shown. Alternative anastomotic methods such as anastomosis to the spermatic or ovarian, adrenal, or renal arteries are described. Follow-up studies on varices and shunt patency are outlined in a high proportion of their patients.
97 Review of Recent Books
Chapter 8 concerns surgical hormone therapy for advanced breast cancer and the use of an applied vascular procedure-namely, suprarenal-inferior mesenteric venous shunt-for advanced metastatic carcinoma of the breast. Chapter 9 describes the treatment of glycogen storage disease using an endto-side mesenteric vein-vena caval anastomosis. Chapter 10 outlines the advantages of the vascular stapler for anastomosing the artery in kidney transplantation, thereby reducing operating time. Chapter 11shows the use of the vascular stapler in tuba1 anastomosis. Finally, the Appendix discusses animal experimentation in the use of the vascular stapler.
The book is well illustrated with line drawings, and clinical results are included with each procedure. The book is highly recommended to those interested in developing techniques using the vascular stapler, and it belongs in any center where such training programs are going on. The information on application of vascular surgery in unusual ways is especially interesting. It is not a book for the aspiring vascular surgeon who is looking for an atlas on techniques for many standard vascular operations. Chicago, IL