Surgery of the veins

Surgery of the veins

BOOK REVIEWS George Johnson, Jr., M.D., Book Review Section Editor Surgery of the veins John J. Bergan and James S. T. Yao, eds. Orlando, 1985, Grun...

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BOOK REVIEWS George Johnson, Jr., M.D.,

Book Review Section Editor

Surgery of the veins John J. Bergan and James S. T. Yao, eds. Orlando, 1985, Grune & Stratton, Inc., 557 pages, $89.50 per volume.

Fluids and electrolytes

This important textbook on venous surgery is organized in 10 logical sections with 39 separatechapter topics presented by recognized authorities in vascular surgery. Surgeons have become accustomed to the clarity and superior quality of these volumes based on the editors’ Annual Symposium in Vascular Surgery at Northwestern University School of Medicine. This text is no exception and provides comprehensive coverage of the subject material, seldom so well developed in other references. Applied physiology of the venous system is well summarized and supplemented by ample information on noninvasive and invasive diagnostic considerations. These data provide background for a review of the management of acute and chronic venous insufficiency as well as the operative and nonoperative approaches to managing lower extremity varicosities and other chronic complications. The discussion of realistic expectations in reconstructive venous procedures in the lower extremity is valuable and emphasizesthe highly selective nature and limited indications for these operations. Recommendations for the management of specialized aspectsof venous trauma at the thoracic outlet as well as the superior and inferior vena cavae are thoroughly reviewed. An overview of pulmonary thromboembolism and its prophylaxis is also presented. A unique section on the historic development of pressure gradient therapy for chronic venous insufficiency as developed by Conrad Jobst is presented by the text’s senior editor (J. J. B.). Jobst’s ingenuity as a mechanical engineer was emphasized in his development of this most important contribution to the treatment of chronic venous insufficiency. Surgeryof the veins will be well received and appreciated by physicians and surgeons concerned with the medical and surgical care of major venous problems. It will be a welcome addition to institutional and personal medical libraries.

This book is an excellent and far-ranging review that could have well been titled, “Everything You Could Ever Want to Know About Fluids and Electrolytes and Their Imbalances.”The book, which contains 878 pages,is composed of 22 chapters dealing with various aspectsof fluids and electrolytes and their various abnormalities and pathologic states. It also contains as an appendix, an “Overview of Renal Physiology,” which deals with the specific issues of nephron function that affect various metabolic abnormalities and certain aspectsof the transport of various electrolytes by the kidney. The book is well written and all chapters seem to be of uniformly high quality. The book is well illustrated with diagrams and tables that greatly enhance the value of the text. There have been several recent small books on fluids and electrolytes that have dealt with these topics in fairly simplistic terms. This book is not one of those. It discusses the physiology underlying the fluid and electrolyte problems in great detail and it does require effort to read. As such, it will be more use&l to the serious student of fluid and electrolyte problems and as a reference book for detailed reading about various aspectsof fluids and electrolytes. It is not the kind of book that one is likely to plan to read cover-to-cover even if the subject is of great interest to the reader. The book is somewhat expensive at $85.00 and as such may not be included as a part of every physician’s library. However, I would strongly recommend it for medical school and hospital libraries and for physicians who are closely involved in the day-to-day care of critically ill patients.

Robert W. Hobson, M.D. Boston University Mcdkal Center

412

Juha P. Kokko and Richard L. Tannen, eds. Philadel-

phia, 1986, W.B. Saunders Company, 878 pages,

$85.00.

J. David RkbarAron, Univmity of LouW

MD.