Knowledge of and experience with the basic technique of vaginal
hysterectomy is not univers al. Each surgeon must learn to identify
and appreciate the dimensions of individual variation in anatomic
findings and therefore surgical technical decisions and their execu
tion from one patient to another. Unexpected surgical difficulty
can be predicted, but ultimately it is dealt with retrospectively.
Skilled practitioners must study the particular patient and her
problem comprehensively and allow for such individual variations in
find ings and technical needs as are necessary to the surgical
solution for that patient's problem. Recognizing these factors,
Drs. Hoffman and Spellacy have orga nized and prepared a
comprehensive monograph concerning this very real clinical entity.
They have reviewed the experience of con temporary surgeons and
blended these recommendations with their own experience in a useful
compendium of surgical knowledge about this important subject.
Their monograph is recommended not as a replacement for the many
other fine surgical texts available to the reader but as a
supplement to the surgeon's library. It is for those surgeons who,
having mastered the basic techniques, are in terested in extending
the frontiers of personal knowledge of this provocative subject and
safely broadening the indications for effec tive surgery and
reconstruction. David H. Nichols, M.D., F.A.C.S., F.A.C.O.G.
General
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