October 1984

Advances in Surgery

Author Affiliations

USA Aurora, Colo


edited by G. Thomas Shires, 323 pp, with 30 illus, $39.95, Chicago, Year Book Medical Publishers, 1984.

Arch Surg. 1984;119(10):1220. doi:10.1001/archsurg.1984.01390220092024

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


The present edition of Advances in Surgery encompasses a wide variety of subjects that are of interest to the knowledgeable clinician.

The book begins with an in-depth discussion of total parenteral nutrition that includes venous access, basic metabolism, and situational caloric needs (ie, sepsis, liver failure), protein sparing, vitamins and trace elements, and complications. Next on the agenda is Dr Sherman's complete treatise on splenic preservation. This includes the historical background, splenic physiology and anatomy, and, finally, modern methods and results of retaining the injured spleen. A fascinating account of the microsurgery of replantation and free flaps follows. In this section, we learn the general rules for not only digit and extremity replantation, but also for the microvascular techniques for musculocutaneous, gastrointestinal tract, omental, and other free tissue transfers. The complete picture of cyclosporine and its impact on organ transplantation is next. The origins, physiologic mechanisms, and results of the

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