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June 25, 1982

Douglas-Stromme Operative Obstetrics

JAMA. 1982;247(24):3365. doi:10.1001/jama.1982.03320490061051

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The general format of this book is well conceived and elegantly resolved. I encountered only a few misspelled words in the text. Specific comments follow.

The forceps section is the outstanding example of this subject that I have encountered. Inclusion of the Task Force report on electronic fetal monitoring is innovative, but one wonders about its place in a surgical text.

The section on cesarean hysterectomy contained several problems: the recommendation on page 637 that the baby is best delivered by breech extraction after podalic version if need be; absence of directions to the reader-surgeon to clamp paracervical and uterosacral tissues before their dissection from the uterus; the purse string reperitonealization of the pelvis, which, as the illustration clearly shows, brings the ovaries to a position right down on the vaginal cuff.

The discussion, photographs, and illustrations of episiotomy and repair are outstanding. The Broedel illustrations of breech delivery, seemingly