Acute surgical operation manual - emergency procedures for the general surgeon The surgical sub specialization has gone further in Sweden than in m
Acute surgical operation manual – emergency procedures for the general surgeon
The surgical sub specialization has gone further in Sweden than in most other countries. There are pros and cons to this. The advantage is increased training in a limited area that leads to better quality and may even be a prerequisite for maintaining quality, as the total number of operating hours per surgeon has decreased. The disadvantage is the difficulty of mastering operations outside one’s own specialty area, something that has become increasingly apparent with an ever-increasing specialization and increasingly fixed boundaries between different specialties. This jeopardizes surgical safety during an on-call time, as no hospital can afford all the specialists needed to cover the entire surgical field “outside office hours.” In the same way, it jeopardizes surgery in extraordinary situations where specialists are not available or sufficient for all procedures. Far too little focus has been placed on compensating for the increasing sub specialization with basic training of all surgeons in emergency and trauma General Surgery Instruments.
Against this background, this book fulfills a very clear function, as the goal is precisely to be a manual that every surgeon can rely on both on call and in extraordinary situations. The title “emergency surgery for the general surgeon” can be discussed, as most people probably agree that the general surgeon no longer exists – “for all surgeons” might have been more relevant.
The author writes very clearly and well in his preface that “if you cannot already operate, you will not be able to do so after this book.” Against this background, one might discuss the need for the ninety pages of basic abdominal anatomy plus ten pages on surgical instruments that begin the book. For those who need to supplement their anatomical knowledge, there is special anatomical and perhaps better-illustrated literature. The book, in general, is exemplary comprehensive and even includes emergency eye surgery. There are occasional beauty spots, for example missing in a sketch that shows neck exploration marking of the vocal cords – a sensitive structure that one must have a bearing on, as bilateral injury can lead to acute respiratory failure and also the need for permanent tracheostomy.
The authors use very simple black and white sketches, which are a good example of how much information can actually be obtained without more detailed and lavish drawings. Perhaps these sketches could have been used to a greater extent as a supplement to gradually illustrate the technology in various processes, which are now often described only with numbered points in lists, sometimes quite long ones. The points are clear and good, but for most people, pictures are probably better left on the retina when standing at the operating table or in the emergency room than a list of points, which can be difficult to memorize. Perhaps a tip for further editions of this very ambitious and useful book, for which there is every reason to congratulate the authors.