This is an interesting and valuable single-authored book. It presents a vivid example of the contrast between the values of solo vs multiple-authored books. It is recommended for those who would appreciate the limitations inherent in such a treatise. Here, philosophy and personal preference for and against various methods and procedures, rather than controlled studies by qualified authors, play an enormous role. Since pros and cons require profound discussion, MacLeod's reader has to be directed to other, more elaborate sources of information. This applies not only to the selection of controversial, but even to accepted, methods and procedures, especially where several different ways or methods exist to manage the same problem. Selectivity is of enormous importance.
This book does not provide enough basic or fundamental background material for the teaching of medical students or for the training of residents. Nor is it intended for the sophisticated general and/or intestinal surgeon.