RT Journal T1 MInimally invasive cardiac surgery JF Archives of Surgery JO Archives of Surgery YR 1999 FD October 1 VO 134 IS 10 SP 1155 OP 1155 DO UL http://dx.doi.org/ AB As expected, the subject matter tends to be very technical. Despite their concise nature, the chapters are quite informative. Pearls are found everywhere. The writing is easy to read and the message is lucid. Some chapters are full of exquisite details and are a delight to read. Chapter 2, entitled "The Evolution of Minimally Invasive Surgery," is outstanding. The "how I do it" approach to the writing leaves the reader unambiguous about the honesty of the message. It is, however, this same subjective writing that occasionally conveys a lack of credibility. The absence of factual data to support many claims leads to frequent speculation. Furthermore, to provide more than a single point of view, the editors allowed some topics to be covered in more than 1 chapter. Although the editors claim this method "provides depth to subject matter which can be approached in a number of different ways," it nevertheless annoys the reader with a repetitive barrage of information. It also leaves one sifting through much unnecessary information before stumbling on the pertinent details. Some of the chapters are too wordy, eg, "Anesthesia." Others need to be rewritten or eliminated, eg, the chapter entitled "Combined Catheter and Minimally Invasive Direct Coronary Artery Bypass Procedures: Hybrid Revascularization." The editors ought to be commended on the overall composition and the assembly of such work, yet encouraged not to allow melodramatization, such as on page 263 (chapter 27) that reads "the mutilation of sternotomy" or the use of coined terms such as "saphenologist" (page 155, chapter 14) to refer to the individual harvesting the saphenous vein.