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January 24, 1986

Common Surgical Problems: The Surgical Practice of the Cleveland Clinic

Author Affiliations

University of Florida Gainesville

JAMA. 1986;255(4):550. doi:10.1001/jama.1986.03370040126045

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This book is useful reading and an excellent reference for the busy clinical general surgeon. It is brief and concise, in no sense a substitute for a reference textbook. Each disease entity commonly treated by the general surgeon is briefly described. The rationale for the surgical approach used by the Cleveland Clinic is presented. Then the operative procedure itself is presented in some detail. This is the unique and very desirable feature of the volume.

The strong bias of the Clinic is presented without any apologies and is backed up by their enormous experience. Some controversial areas are obvious, as in their conservative approach to carcinoma of the breast. Some practices, such as the use of the Tom Jones stitch for abdominal closure, are almost unique to the Clinic. Nonetheless, the excellent results support their point of view.

The sections involving upper gastrointestinal disease and colorectal disease are exceedingly well