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Heart and Heart-Lung Transplantation
Mayo Clin Proc, May 1990, Vol 65
concerning the current state of the art. We m u s t await further data to enable u s to a s s e s s w h e t h e r patient care h a s in fact been improved. Maurice J. Webb, M.D. D e p a r t m e n t of Obstetrics and Gynecology
Heart and Heart-Lung Transplantation, edited by J o h n Wallwork, 566 pp, w i t h illus, $90, Philadelphia, W. B. S a u n d e r s Company, 1989 This multiauthored text, 80% of which is de voted to heart transplantation and 20% to heartl u n g transplantation, represents an interna tional effort. Twelve o f t h e 28 chapters are based on the experience of the group from Papworth Hospital, Cambridge, England, where the editor of the text is a leading authority. The text is j u s t one of several recently published books on the subject, including v o l u m e s edited by Baumgartner, Thompson, Macoviak, and Cooper. This surge in publications on heart and heart-lung transplantation reflects the dramatic increase in cardiothoracic transplantation throughout t h e world, both in t e r m s o f t h e n u m b e r of trans plant procedures performed and the number of transplant centers (more t h a n 160 in the U n i t e d S t a t e s at the present time). The first section of the book, which deals with heart transplantation, is the stronger of the t w o sections and provides a solid, comprehensive review of all the important aspects of this sub ject, including selection of donors and recipients, surgical and anesthetic m a n a g e m e n t , immuno suppression, m a n a g e m e n t of infectious disease, and the diagnosis of rejection. Most of the information is a s up-to-date as any text can be in a rapidly evolving field and provides a sound knowledge base for trainees in most countries. Currently, a significant number of questions about heart transplantation are included in thoracic board examinations, and this text should be an adequate guide for study. The second section of t h e book, devoted to heart-lung transplantation, is narrower in scope
BOOK REVIEWS 779
t h a n the first section. The quality of the mate rial presented is good, but the breadth is some w h a t limited. In particular, the section includes only 11 pages on single l u n g transplantation and 3 pages on double lung transplantation, areas t h a t continue to expand rapidly in importance to cardiothoracic transplant surgeons. In summary, this publication is an important contribution to the literature on cardiothoracic transplantation. I recommend it to both train ees and practitioners in the field. Christopher G. A. McGregor, M.D. Section of Transplantation Surgery
Intraoperative Ultrasonography in Hepato biliary and Pancreatic Surgery: A Prac t i c a l G u i d e (Series in Radiology, Vol 19), e d i t e d by G i u s e p p e Gozzetti, Alighieri Mazziotti, Luigi Bolondi, and Luigi Barbara, 183 pp, with illus, $92.50, Dordrecht, The Netherlands, Kluwer Academic Publishers, 1989 The goal of this text is to provide practical guidelines for the clinical use of intraoperative ultrasonography. Despite significant advances in the quality and accuracy of conventional preoperative imaging, all surgeons are aware of the limitations of preoperative studies. Increas ingly, gastrointestinal surgeons have recognized the need to improve their intraoperative diag nostic discrimination and thereby refine their operations. With advances in the quality of ultrasound instrumentation, e a s e of use, and efficacy, intraoperative ultrasonography has evolved from an investigational imaging tool to a necessary component of hepatobiliary and pancreatic surgical practice during the past decade. The volume is divided into four sections. The first section focuses on the principles of intraop erative ultrasonography, instrumentation, and terminology. The subsequent three sections address the u s e of intraoperative ultrasonogra phy in surgical procedures in t h e liver, biliary tract, and pancreas, respectively. The Individ-
concerning the current state of the art. We m u s t await further data to enable u s to a s s e s s w h e t h e r patient care h a s in fact been improved. Maurice J. Webb, M.D. D e p a r t m e n t of Obstetrics and Gynecology
Heart and Heart-Lung Transplantation, edited by J o h n Wallwork, 566 pp, w i t h illus, $90, Philadelphia, W. B. S a u n d e r s Company, 1989 This multiauthored text, 80% of which is de voted to heart transplantation and 20% to heartl u n g transplantation, represents an interna tional effort. Twelve o f t h e 28 chapters are based on the experience of the group from Papworth Hospital, Cambridge, England, where the editor of the text is a leading authority. The text is j u s t one of several recently published books on the subject, including v o l u m e s edited by Baumgartner, Thompson, Macoviak, and Cooper. This surge in publications on heart and heart-lung transplantation reflects the dramatic increase in cardiothoracic transplantation throughout t h e world, both in t e r m s o f t h e n u m b e r of trans plant procedures performed and the number of transplant centers (more t h a n 160 in the U n i t e d S t a t e s at the present time). The first section of the book, which deals with heart transplantation, is the stronger of the t w o sections and provides a solid, comprehensive review of all the important aspects of this sub ject, including selection of donors and recipients, surgical and anesthetic m a n a g e m e n t , immuno suppression, m a n a g e m e n t of infectious disease, and the diagnosis of rejection. Most of the information is a s up-to-date as any text can be in a rapidly evolving field and provides a sound knowledge base for trainees in most countries. Currently, a significant number of questions about heart transplantation are included in thoracic board examinations, and this text should be an adequate guide for study. The second section of t h e book, devoted to heart-lung transplantation, is narrower in scope
BOOK REVIEWS 779
t h a n the first section. The quality of the mate rial presented is good, but the breadth is some w h a t limited. In particular, the section includes only 11 pages on single l u n g transplantation and 3 pages on double lung transplantation, areas t h a t continue to expand rapidly in importance to cardiothoracic transplant surgeons. In summary, this publication is an important contribution to the literature on cardiothoracic transplantation. I recommend it to both train ees and practitioners in the field. Christopher G. A. McGregor, M.D. Section of Transplantation Surgery
Intraoperative Ultrasonography in Hepato biliary and Pancreatic Surgery: A Prac t i c a l G u i d e (Series in Radiology, Vol 19), e d i t e d by G i u s e p p e Gozzetti, Alighieri Mazziotti, Luigi Bolondi, and Luigi Barbara, 183 pp, with illus, $92.50, Dordrecht, The Netherlands, Kluwer Academic Publishers, 1989 The goal of this text is to provide practical guidelines for the clinical use of intraoperative ultrasonography. Despite significant advances in the quality and accuracy of conventional preoperative imaging, all surgeons are aware of the limitations of preoperative studies. Increas ingly, gastrointestinal surgeons have recognized the need to improve their intraoperative diag nostic discrimination and thereby refine their operations. With advances in the quality of ultrasound instrumentation, e a s e of use, and efficacy, intraoperative ultrasonography has evolved from an investigational imaging tool to a necessary component of hepatobiliary and pancreatic surgical practice during the past decade. The volume is divided into four sections. The first section focuses on the principles of intraop erative ultrasonography, instrumentation, and terminology. The subsequent three sections address the u s e of intraoperative ultrasonogra phy in surgical procedures in t h e liver, biliary tract, and pancreas, respectively. The Individ-