Manual of Surgery
American Journal of the Medical Sciences
332 REVIEWS. obtain the aid of a consultant, or when a surgeon is far from the resources which surround him in a hospital. Very true is his statement that even if a physician never expects to operate he should at least be familiar with the present resources and operative successes of surgical art. Operations of emergency surgery should therefore be familiar to physicians as well as to professed specialists in surgery. The author properly lays stress upon the fact that instruments and dressings
... ents and dressings for emergency operations should always be ready for transpor¬ tation by the surgeon in order to save precious time when urgent opera¬ tions are to be done. Borne form of bag or satchel filled with the usual instruments and dressings is demanded for such use. Complicated methods of sterilization are not discussed, but an effort is made to show how things may be done in a simple and efficient manner when the sur¬ roundings of a well-stocked hospital operating-room are not accessible. The author believes in the use of ether rather than chloroform as an anesthetic, and is evidently aggressive and up to date in the treatment of fractures, injuries to the skull and brain, and perforating wounds and other lesions of the abdominal and pelvic organs. An interesting feature is the introduction of emergency operations in conditions of the eye and ear. His injunction that iridectomy should be done at once for acute glaucoma is an indication of the thoroughness with which these questions not usually discussed in surgical text books are handled. In the same way, his insistence upon complete reduction of fractures "of the lower end of the radius shows a familiarity with the practical side of the treatment of this often neglected injury. The articles on wounds of great vessels, foreign bodies in the air pas¬ sages, urgent conditions of the heart and lungs, ruptures of the urethra, and hernia will be read with the greatest benefit by the surgical specialist, as well as by the general practitioner who, as a rule, does not expect to assume the responsibility of surgical operations. Dislocations, injuries of nerves, and imperforate anus are discussed because they often need prompt operative relief. An inspection of this volume makes it clear that it is a valuable book of reference which will do very much to add to the reputation of the author and to which the surgical teacher can with benefit refer. The very numerous illustrations are unusually beautiful and demonstrative.