Description: This monograph describes wound management from the perspective of the general and reconstructive surgeon.
Purpose: The ill defined technique of surgical debridement is reviewed in the context of traumatic, infectious, vascular, and diabetic wounds.
Audience: Trainees and practitioners in general or acute care surgery are an appropriate audience for this work. Authors represent an international group of authorities from general and reconstructive surgical disciplines.
Features: After presentation of wound bed physiology and evaluation of bacterial burden, the book moves through management techniques for complex infections (as typified by necrotizing fascitis), burns, open fractures with soft tissue loss, and important nontraumatic problems such as decubitus ulcers, vascular lesions, and infected orthopedic hardware. A concluding chapter reviews management of the diabetic foot. Chapters are clearly written and include black-and-white Illustrations and photographs that reproduce with adequate quality. A centrally placed collection of photographs contains key illustrations in color. Good use is made of tables. Each chapter contains an excellent reference list with citations dating to within one to two years of publication. The majority of citations are from primary literature and reflect important papers.
Assessment: This is an important tool for the acute care surgeon or the reconstructive surgeon providing early management of bony and soft tissue insults. My three concerns are the need for greater emphasis on early surgical wound management in the title, the limited quality of some of the black-and-white photographs, and repeated description of hydrosurgery technology for use in the debridement process. Despite these limitations, this is an effective review of basic principles.