- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Gale Lynn Tang, MD (VA Puget Sound Health Care System)
Description: This pocket-sized handbook of vascular surgery covers the arterial and venous exam and, primarily, open vascular surgical approaches for the basic vascular operations.
Purpose: The purpose is "to give detailed guidance on the work up, perioperative management, and operative details for patients undergoing vascular surgery." The primary focus is on open procedures, although endovascular alternatives are mentioned throughout. These are worthy objectives, especially when covered by a short, quickly readable handbook such as this one. The book for the most part meets the authors' objectives. However, as endovascular therapies are being applied more and more by vascular surgeons, the placement of angioplasty/stenting and venous ablation in the nonoperative treatment section of the book, and their relatively superficial coverage, is probably not appropriate.
Audience: The book is primarily aimed at residents and fellows, with points of interest for interventional radiology fellows, vascular nurses, and vascular technologists. The lead author is a practicing vascular surgeon at University of Oxford, John Radcliffe Hospital who has published several peer-reviewed articles in the field. Her coauthors are fellows or registrars.
Features: The initial section of the book describes common vascular diagnoses, clinical presentations, work-up, and differential diagnosis. The second section focuses on perioperative risk stratification, anesthetic management, management of coagulation, thrombolytics, and bleeding, as well as antibiotics. The third section reviews anesthetic, exposure/approach, and operative techniques for the majority of open vascular procedures. All chapters are brief and focused, making them a quick read and review on the way to the operating room. The authors do an excellent job of focusing on the highlights as well as the major pitfalls associated with each operation. The operative diagrams are straightforward and help trainees visualize the basics of each operation. The coverage for endovascular procedures is very sparse, which is a major shortcoming especially as endovascular procedures are becoming more a part of vascular surgery. Perhaps 10 years ago, when the majority of endovascular procedures were performed by interventional radiologists, this might have been appropriate, but currently this is unacceptable for any handbook of vascular surgery. There are very limited references and since this is a concise handbook, it leaves readers without a ready source of more detailed information on topics of interest. There are no angiographic pictures, MRA, or CTA images in the book. Since a great deal of diagnostic information in vascular surgery involves image interpretation, this is a major flaw. A significant omission is a chapter on acute limb ischemia with the 6 P's as well as management of failing or failed bypass grafts.
Assessment: This concise handbook is most useful for general surgery residents on vascular rotations and is an excellent quick review prior to going into an operating room. The beginning sections are useful for pointing out the important sections of the vascular physical exam, as well as providing useful drug dosing tips for anticoagulation, reversal, and thrombolysis. Despite the noted drawbacks, this book is better organized, less redundant, and more uniform with more operative procedures diagrammed than the other available handbook Handbook of Vascular Surgery, Sales et al. (Quality Medical Publishing, 1994).