Pros: Provides the general surgery resident with a basic framework on which he/she can build up her knowledge of operative surgery. You should read this book before delving deep into the intricacies of a particular procedure. Especially good for residency programs in a community setting.
Cons: Description of some of the procedures can appear sketchy to the beginner surgeon.
Reviewed by Matthew Miller Ann R Coll Surg Engl. 2007 March; 89(2): 195.
"This well-established, classic textbook addresses the needs of trainees for a wide-ranging and detailed guide to the breadth of operations that are still covered by the specialty known as general surgery. It also manages to include operative situations that could present unexpectedly to a general surgeon working in a rural area or overseas with limited referral resources. As such, it achieves the aim as set out in the preface.
With the increasing subspecialisation of practice within the UK, this has necessitated a multi-author approach. All the contributors are practising clinicians in their fields within the UK and Ireland. This works well, with little duplication and a consistency of style that is easy to follow. The interspersed line drawings and diagrams that illustrate the text are clear and informative. Operations are clearly described with alternatives and variations of approach. The references given at the end of each chapter are kept to a practical level for those seeking greater depth of discussion. They include seminal papers, editorials and reviews. That this is achieved within just over 560 pages and 650 diagrams is remarkable.
However, there are imminent changes to the education of surgical trainees in the UK. These are likely to result in more narrowly focused UK `general surgeons' of the future, with a much more limited repertoire of operative procedures, accustomed to working in large teams and rarely straying outside their defined competencies. How much this and similar textbooks catering to the breadth of surgery will appeal to them is uncertain.
The book does not purport to be a subspecialist text, nor does it try to reference the evidence base for all that it describes. For UK practice, I would have expected to see a greater emphasis on the anticipation of complications particular to operations and related issues of consent. The book purposely does not address the areas of non-operative management or wider decision making around conditions. Nor does it cover operating theatre safety, communication and teamworking (an area that will be indispensable in the future).
Overall, this textbook of operative surgery is an excellent place to begin for the surgeon starting out to acquire the skills needed for modern surgical practice, as well as for the trainee approaching the intercollegiate part 3 examination. For anyone at any level anticipating a period abroad operating in a resource-deprived area, this is the textbook of choice."