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Journal of the Royal Society of Medicine Volume 72 March 1979 241 Reproductive Endocrinology that a prospective study was carried out on the S S C Yen & R B Jaffe (ed) pp 579 £28 controversial area of immediate fitting of pros- Eastbourne: Holt-Saunders 1978 theses and the authors rightly conclude that this There are now many books on reproductive en- type of specialized prosthesis can only be safely docrinology but none, I believe, to match this for used in centres which are adequately staffed and sheer in quality almost every respect. It has a most equipped. The problem of the upper limb pros- distinguished list of authors and the editors, who thesis, and the particular difficulty of powering themselves contribute a such a major part of the work, are prosthesis, is carefully analysed. The justifiably in the highest international ranking. The authors view present an optimistic of this difficult extent and depth of coverage is profound, the text area, and the of possibilities external power for admirably readable, the illustrations profuse and upper limb prostheses look promising for the lucid and the general standard of production future. The book also includes a chapter on All these which is superb. superlatives must seem a little bandaging most appropriate at this time. suspicious, but I believe are the authors they fully justified. Finally, preview the field of future Each chapter is followed a list of and their by references, developments, controlled environment many of impressive length (e.g. 305 for the chapter: method of treatment has clearly exciting possi- 'Practical Evaluation of Hormonal Status') but the bilities. It is difficult to fault this text which will be editors do not claim exhaustiveness. There is no read with interest and can be for recommended all author index, which some might regard as an those surgeons, and physicians, bioengineers unfortunate omission. The index is associated staff involved with the care of subject good patients but not perfect (I noted, for example, the omission undergoing amputation. GEORGE BENTLEY of the eponyms for the galactorrhoea- Professor of Orthopaedic Surgery amenorrhoea syndrome though all three appear in University of Liverpool the text). These minor criticisms notwithstanding, this is unquestionably a best buy. G I M SWYER Gynecologic Cytopathology: A Colour Atlas of Consultant Endocrinologist (Retired) Differential Diagnosis. M L Schneider & H J University College Hospital Staemmler pp 187 £24.50 Eastbourne: Holt-Saunders 1978 and M Amputations Prostheses. Vitali, This is a short and concise colour atlas about P B gynaecological K Robinson, G Andrews & E E Harris cytopathology but its main topics 240 £11 Tindall are and pp London: Bailliere 1978 malignant premalignant lesions of the This book from the Roehampton Centre is ex- uterus. The text which precedes each chapter is welcome in what has brief, an tremely been a neglected field assuming almost telegraphic style and particularly in the UK. It is clearly and authori- therefore confined to classical appearances leaving is well-illustrated very little, if tatively written, and presents a any, room for the multitude of well-balanced and up-to-date view on all current aberrations which occur not infrequently. aspects of amputation and The Illustrations in colour prosthetic practice. photography accompanied authors emphasize the and schematic follow throughout psychic by drawings the text. At the end physical trauma of amputation and the importance of the book are six tables with cytometric data, a of a the rehabili- short list of references and an positive energetic approach by incomplete index. tation team. This can offset of the One of the main many problems drawbacks of this atlas is its of the in relation to the limitation to cervical patient, particularly cytology as seen on routine problem of postamputation pain. cervical scrape preparations. These are highly The layout is excellent with a historical survey unreliable for detection of endometrial tubal or and statistics leading into rehabilitation, bio- ovarian lesions. It is therefore customary, when mechanics, congenital and acquired abnormalities such lesions are suspected, to examine cellular and the details of amputations and prostheses for collected other means than samples by by scrapes these indications. The chapter on rehabilitation, from the cervix. It would also have been advan- however, would have been more logically based tageous if of the photomicrographs histological in the text. later appearances, which the authors describe in the The authors the rightly emphasize problems of text, had been presented. the vascular of amputee (since these constitute This atlas will, in all to be 80% probability, prove all lower limb and amputees) clearly analyse the confusing for the uninitiated student of cytology of the level of in and will questions amputation, particular fail to satisfy the more experienced cyto- the of a below-knee advantages amputation. They logist. Although originally written in German it mention methods of assessing viability of the skin has been translated by an expert and is easily which is an area of readable. flaps, obviously development E WACHTEL for the to an future, permit increasing number of Professor of Gynaecological Cytology below-knee It is also to see amputations. refreshing Institute of Obstetrics & Gynaecology
Journal of the Royal Society of Medicine – SAGE
Published: Mar 1, 1979
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