Atlas of Procedures in Gynecologic Oncology

Abstract

Levine DA, Barakat RR, Hoskins WJ. Atlas of Procedures in Gynecologic Oncology. 279 pages. New York and London: Martin Dunitz, Taylor & Francis Group plc, 2003. ISBN1-84184-196-X. Hardback price: GBP 135.00. According to the preface, the purpose of this atlas is to provide a detailed overview of the major procedures performed by gynecologic oncologists, using full-color photographs. The more than 800 images presented are of high quality on glossy paper, and the overall size is appropriate. The authors are experienced authorities in gynecologic oncology working at the Memorial Sloan-Kettering Cancer Center, New York, and at the Curtis and Elisabeth Anderson Cancer Institute, Savannah, Georgia. Dr Hoskins also serves as associate editor of the journal Gynecologic Oncology. Besides the authors there are 26 contributors, two of them from outside America. For European readers the atlas would have been even more relevant if more contributions had come from, for example, France and Germany. Standard procedures including surgical cytoreduction, radical abdominal hysterectomy, pelvic exenteration and various laparoscopic procedures are demonstrated with very good photos. Vaginal trachelectomy for fertility conservation in patients with early cervical cancer is also shown. Vulvectomy and the use of the sentinel node mapping is nicely presented. I would, however, have expected some pictures on methods for reconstructive surgery of the vulva. There are also some repetitions: three different chapters show laparoscopic pelvic lymph node dissection. Various smaller procedures commonly used in oncology are also shown. It seems, however, a little exaggerated to present 15 photos illustrating paracentesis, and 17 photos on the placement of a central venous catheter, a procedure that is commonly performed by the anesthesiologist. Appendectomy is covered by 18 photos, which is far too many. Although important in gynecologic oncology, brachytherapy seems a little misplaced among all the surgical procedures. The authors stress that they have made great efforts to preclude the use of sketches. In some cases, however, it might have been more informative and easier to understand if drawings of deeply located structures had accompanied the photos and if caudal–cephal and medial–lateral directions had been indicated. The book is accompanied by a valuable DVD that covers four chapters on laparoscopic surgery, namely, laparoscopic procedures of surgical staging, radical hysterectomy, extraperitoneal lymph node dissection, and second-look laparoscopy with intraperitoneal catheter placement. The indications, instruments and main surgical steps are outlined with comments on anatomical landmarks and precautions. In summary, this atlas is well done, although it could have been more strictly edited. For residents in training it can serve as a good introduction to various surgical procedures. Experienced gynecologic oncologists will also benefit from the presentations of new technologies.