- Email: [email protected]
Stomal Therapy: An Atlas and Guide for Intestinal Stomas
Mayo Clin Proc, October 1986, Vol 61
of urology into 15 basic sections. Although some subjects may be under new authorship and may have been completely rewritten to keep in step with the current practice, many of the chapter titles are the same as in the prior edition. A few of the previous chapters have been combined and given a new title. The basic science chapters have been rewritten with increased attention to clinical applications. Urologie technology is updated by the inclusion of a discussion of percutaneous routes to the urinary tract for both urinary diversion and manipulation of calculus disease and a description of extracorporeal shock wave lithotripsy. Surgical techniques and the rationale for in vivo or ex vivo renal preservation operations are presented. The current edition includes the following new chapters: (1) "Diagnostic and Therapeutic Urologie Instrumentation," (2) "Infections of the Urinary Tract: Introduction and General Principles," (3) "Urinary Tract Infections in the Spinal Cord Injury Patient," (4) "Principles of Oncology," (5) "Perioperative Care," (6) "Partial Nephrectomy: In Situ or Extracorporeal," (7) "Urinary Undiversion: Refunctionalization of the Previously Diverted Urinary Tract," (8) "Surgery for Calculus Disease of the Urinary Tract," and (9) "Use of Intestinal Segments in the Urinary Tract." In my opinion, Campbell's Urology continues to be an excellent textbook in the field of urology. It includes as up-to-date material as any textbook can and provides a firm foundation on which to build from the ever-expanding urologic literature. Donald E. Engen, M.D. Department of Urology
Stereotactic Techniques in Clinical Neurosurgery, by D. Andries Bosch, 278 pp, with illus, $49, New York, Springer-Verlag, 1986 Interest in stereotactic surgical techniques was renewed after computed tomography was incorporated into such procedures. Since that time, many innovations and new applications have evolved. Until now, no publication has outlined modern stereotactic techniques. This book by Dr. Bosch fills that need. He has had extensive experience in the field of stereotactic surgery and has thoroughly researched this subject.
BOOK REVIEWS
844
After the historical aspects of and the general indications for stereotactic procedures are discussed, specific stereotactic principles, indications, and contemporary instrumentation for each type of procedure are described. The book considers data-acquisition techniques for traditional stereotactic operations and more modern advances, such as the integration of computed tomographic scanning and magnetic resonance imaging into the preoperative data base. Contraindications and technical problems are reviewed. Dr. Bosch also outlines many future possibilities for development of stereotactic techniques. Although the book is extremely informative, it is highly technical in places. Many of the procedural reports relate to a specific stereotactic instrument (Leksell). I recommend this work not only for stereotactic neurosurgeons but also for general neurosurgeons. It will provide new insights into alternative methods for the management of intra-axial lesions currently thought to be within the realm of conventional neurosurgery. In addition, neuroradiologists may benefit from this book because they are usually involved in the data-acquisition phase of stereotactic procedures. Patrick J. Kelly, M.D. Department of Neurosurgery
Stomal Therapy: An Atlas and Guide for Intestinal Stomas, by Rainer Winkler, 108 pp, with illus, $45, New York, Thieme-Stratton, 1986 To my knowledge, only four books in the English language have addressed the topic of creation and care of stomas. Some of these texts review new surgical techniques and techniques for avoiding stomas, whereas others are directed more toward management and complications. This new book by Rainer Winkler on stomal therapy is destined to become a benchmark against which other related books will be compared. This basic text and primer is designed to educate the physician and surgeon in the preoperative counseling of patients and the intraoperative creation and postoperative management of intestinal stomas. The most impressive feature of the book is the clear photographs, which have been used not only
845
BOOK REVIEWS
Mayo Clin Proc, October 1986, Vol 61
to demonstrate proper stomal placement and techniques but also to illustrate the potential complications. Most physicians are not knowledgeable about the management of stomas and their complications, and they may be unfamiliar with the difficulties that can occur. The outstanding illustrations and the readable text provide ample information about the manifestations and management of complications of intestinal stomas. The book is clearly and concisely written; the verbiage is minimized, yet the necessary points are aptly made. The volume is sufficiently brief to be a useful resource for quick answers to questions, and it is also well referenced. Tables are incorporated infrequently but appropriately. When applicable, statistics, complication rates, and alternative methods of management are presented. Complications of Kock ileostomies and different types of stomas are discussed. This excellent book should be useful for all physicians. For the first time, many surgeons will be exposed to the details of stomal therapy. Residents should appreciate this thorough review of stomal problems, which are generally inadequately taught during training. Physicians can refer to this text when patients complain of herniation, difficulty with irrigation, stenosis, or prolapse of stomas. This text will help determine the diagnosis and outline appropriate alternatives of management. Robert W. Beart, Jr., M.D. Department of Surgery
Colorectal Cancer: Current Concepts in D i a g n o s i s and Treatment (Science and Practice of Surgery, Vol 5), edited by Glenn Steele, Jr., and Robert T. Osteen, 366 pp, with illus, $59.50, New York, Marcel Dekker, 1986 A well-conceived, eminently readable, and authoritative review of the difficult and potentially confusing subject of colorectal cancer has been produced by editors Steele and Osteen. They carefully construct their work about a central aim: to provide the reader with complete, concise information. In so doing, the editors manage to make the multiauthored text read as though it were single authored—no simple task. For this effort, students of colorectal cancer will be most appreciative.
The topic of colorectal cancer is indeed vast. The text is organized logically, beginning with a short but complete and accurate review of colon and rectal anatomy and physiologic mechanisms. Next, characteristics of patients who have been identified as being at risk for development of colorectal cancer are described. Moreover, environmental and demographic risks are detailed. Chapter 3 discusses the theory, controversy, and practice of screening asymptomatic patients for colorectal cancer, whereas chapter 4 evaluates all the available methods for diagnosing colorectal cancer in symptomatic patients (ranging from the physical examination to intrarectal ultrasonography). Chapter 5 is a particularly well-done effort; Richard Wilson analyzes prognostic factors in patients with colorectal cancer. These factors include age and sex, histologic features, tumor size and location, tumor markers, obstruction, adhesions, stage of disease, and patient performance status. He concludes the chapter with an important review of the natural history of colorectal cancer. Chapters 6 and 7 describe the surgical management of colonic, rectal, and anal cancer in an exemplary fashion; the topics are large but efficiently and completely covered. Numerous controversies in surgical management are presented fairly (such as "radical" versus "standard" resection, preoperative radiation therapy, and prophylactic oophorectomy). Chapters 8 and 9 present the current status of irradiation and chemotherapy in the management of patients after resection for colorectal cancer. These topics can indeed be confusing; but practical, clear, comprehensive, and fair presentations by Rich and Gunderson and by Mayer render these chapters focused and, therefore, understandable. Rational yet practical plans for postoperative follow-up, based on the biologic features of colorectal cancer and other considerations, such as the philosophy of the physician and the availability of resources, are presented in chapter 10. A particularly well-executed discussion of carcinoembryonic antigen based on second-look exploration is included. Chapter 11 explores treatment options for recurrent disease. The natural history of metastatic disease, sites of recurrence, histologic features, and disease-free interval are described. Systemic and regional treatment regimens are thoroughly
of urology into 15 basic sections. Although some subjects may be under new authorship and may have been completely rewritten to keep in step with the current practice, many of the chapter titles are the same as in the prior edition. A few of the previous chapters have been combined and given a new title. The basic science chapters have been rewritten with increased attention to clinical applications. Urologie technology is updated by the inclusion of a discussion of percutaneous routes to the urinary tract for both urinary diversion and manipulation of calculus disease and a description of extracorporeal shock wave lithotripsy. Surgical techniques and the rationale for in vivo or ex vivo renal preservation operations are presented. The current edition includes the following new chapters: (1) "Diagnostic and Therapeutic Urologie Instrumentation," (2) "Infections of the Urinary Tract: Introduction and General Principles," (3) "Urinary Tract Infections in the Spinal Cord Injury Patient," (4) "Principles of Oncology," (5) "Perioperative Care," (6) "Partial Nephrectomy: In Situ or Extracorporeal," (7) "Urinary Undiversion: Refunctionalization of the Previously Diverted Urinary Tract," (8) "Surgery for Calculus Disease of the Urinary Tract," and (9) "Use of Intestinal Segments in the Urinary Tract." In my opinion, Campbell's Urology continues to be an excellent textbook in the field of urology. It includes as up-to-date material as any textbook can and provides a firm foundation on which to build from the ever-expanding urologic literature. Donald E. Engen, M.D. Department of Urology
Stereotactic Techniques in Clinical Neurosurgery, by D. Andries Bosch, 278 pp, with illus, $49, New York, Springer-Verlag, 1986 Interest in stereotactic surgical techniques was renewed after computed tomography was incorporated into such procedures. Since that time, many innovations and new applications have evolved. Until now, no publication has outlined modern stereotactic techniques. This book by Dr. Bosch fills that need. He has had extensive experience in the field of stereotactic surgery and has thoroughly researched this subject.
BOOK REVIEWS
844
After the historical aspects of and the general indications for stereotactic procedures are discussed, specific stereotactic principles, indications, and contemporary instrumentation for each type of procedure are described. The book considers data-acquisition techniques for traditional stereotactic operations and more modern advances, such as the integration of computed tomographic scanning and magnetic resonance imaging into the preoperative data base. Contraindications and technical problems are reviewed. Dr. Bosch also outlines many future possibilities for development of stereotactic techniques. Although the book is extremely informative, it is highly technical in places. Many of the procedural reports relate to a specific stereotactic instrument (Leksell). I recommend this work not only for stereotactic neurosurgeons but also for general neurosurgeons. It will provide new insights into alternative methods for the management of intra-axial lesions currently thought to be within the realm of conventional neurosurgery. In addition, neuroradiologists may benefit from this book because they are usually involved in the data-acquisition phase of stereotactic procedures. Patrick J. Kelly, M.D. Department of Neurosurgery
Stomal Therapy: An Atlas and Guide for Intestinal Stomas, by Rainer Winkler, 108 pp, with illus, $45, New York, Thieme-Stratton, 1986 To my knowledge, only four books in the English language have addressed the topic of creation and care of stomas. Some of these texts review new surgical techniques and techniques for avoiding stomas, whereas others are directed more toward management and complications. This new book by Rainer Winkler on stomal therapy is destined to become a benchmark against which other related books will be compared. This basic text and primer is designed to educate the physician and surgeon in the preoperative counseling of patients and the intraoperative creation and postoperative management of intestinal stomas. The most impressive feature of the book is the clear photographs, which have been used not only
845
BOOK REVIEWS
Mayo Clin Proc, October 1986, Vol 61
to demonstrate proper stomal placement and techniques but also to illustrate the potential complications. Most physicians are not knowledgeable about the management of stomas and their complications, and they may be unfamiliar with the difficulties that can occur. The outstanding illustrations and the readable text provide ample information about the manifestations and management of complications of intestinal stomas. The book is clearly and concisely written; the verbiage is minimized, yet the necessary points are aptly made. The volume is sufficiently brief to be a useful resource for quick answers to questions, and it is also well referenced. Tables are incorporated infrequently but appropriately. When applicable, statistics, complication rates, and alternative methods of management are presented. Complications of Kock ileostomies and different types of stomas are discussed. This excellent book should be useful for all physicians. For the first time, many surgeons will be exposed to the details of stomal therapy. Residents should appreciate this thorough review of stomal problems, which are generally inadequately taught during training. Physicians can refer to this text when patients complain of herniation, difficulty with irrigation, stenosis, or prolapse of stomas. This text will help determine the diagnosis and outline appropriate alternatives of management. Robert W. Beart, Jr., M.D. Department of Surgery
Colorectal Cancer: Current Concepts in D i a g n o s i s and Treatment (Science and Practice of Surgery, Vol 5), edited by Glenn Steele, Jr., and Robert T. Osteen, 366 pp, with illus, $59.50, New York, Marcel Dekker, 1986 A well-conceived, eminently readable, and authoritative review of the difficult and potentially confusing subject of colorectal cancer has been produced by editors Steele and Osteen. They carefully construct their work about a central aim: to provide the reader with complete, concise information. In so doing, the editors manage to make the multiauthored text read as though it were single authored—no simple task. For this effort, students of colorectal cancer will be most appreciative.
The topic of colorectal cancer is indeed vast. The text is organized logically, beginning with a short but complete and accurate review of colon and rectal anatomy and physiologic mechanisms. Next, characteristics of patients who have been identified as being at risk for development of colorectal cancer are described. Moreover, environmental and demographic risks are detailed. Chapter 3 discusses the theory, controversy, and practice of screening asymptomatic patients for colorectal cancer, whereas chapter 4 evaluates all the available methods for diagnosing colorectal cancer in symptomatic patients (ranging from the physical examination to intrarectal ultrasonography). Chapter 5 is a particularly well-done effort; Richard Wilson analyzes prognostic factors in patients with colorectal cancer. These factors include age and sex, histologic features, tumor size and location, tumor markers, obstruction, adhesions, stage of disease, and patient performance status. He concludes the chapter with an important review of the natural history of colorectal cancer. Chapters 6 and 7 describe the surgical management of colonic, rectal, and anal cancer in an exemplary fashion; the topics are large but efficiently and completely covered. Numerous controversies in surgical management are presented fairly (such as "radical" versus "standard" resection, preoperative radiation therapy, and prophylactic oophorectomy). Chapters 8 and 9 present the current status of irradiation and chemotherapy in the management of patients after resection for colorectal cancer. These topics can indeed be confusing; but practical, clear, comprehensive, and fair presentations by Rich and Gunderson and by Mayer render these chapters focused and, therefore, understandable. Rational yet practical plans for postoperative follow-up, based on the biologic features of colorectal cancer and other considerations, such as the philosophy of the physician and the availability of resources, are presented in chapter 10. A particularly well-executed discussion of carcinoembryonic antigen based on second-look exploration is included. Chapter 11 explores treatment options for recurrent disease. The natural history of metastatic disease, sites of recurrence, histologic features, and disease-free interval are described. Systemic and regional treatment regimens are thoroughly