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November 28, 1980

Surgery Annual

Author Affiliations

University of Southern California School of Medicine Los Angeles

JAMA. 1980;244(21):2460. doi:10.1001/jama.1980.03310210060038

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As stated in the preface of this book, the aim of the Surgery Annual series is "to provide the surgeon with... recent advances and modifications in the clinical management of surgical diseases and to present new developments in the basic sciences as they relate to the practice of surgery." Since most advances and new developments are controversial, it is understandable that the authors would tout their own approach and deemphasize other findings.

This 1980 volume has 19 chapters contributed by 34 authors; six chapters concern patients who suffer traumatic injuries. Regarding "human host defense mechanisms as they relate to surgery and trauma," reticuloendothelial system failure secondary to opsonic glycoprotein deficiency is the all-important factor. Fortunately, it can be easily corrected by infusion of fresh cryoprecipitate. Excellent photographic illustrations and technical points are given in the "Management of Complex Vascular Injuries to the Extremities." After discussion of several "Options in Treating