Appearing five years after its predecessor, the fourth edition of this widely read surgical textbook contains 35% new material, according to its editors. At this rate, the surgical knowledge doubling time could be calculated at 15 years! Whether this is in fact the pace of surgical progress may be debatable, but without question even such a monumental tome (2,150 pages) requires almost constant revision. Simply listing some of the new chapters and topics justifies this new publication. They include nutrition, transplant, the immunology of oncology, microvascular techniques, free flaps, new concepts in the treatment of breast cancer, splenorrhaphy, gynecologic endocrinology, and the entire field of interventional radiology as it relates to the biliary tract. This new edition is not idle churning!
As in past editions, this book serves as the standard reference for most US and many overseas medical students, residents, and surgeons. As such, it emphasizes the basic principles