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Logo of mjafiGuide for AuthorsAbout this journalExplore this journalMedical Journal, Armed Forces India
Med J Armed Forces India. 2007 January; 63(1): 94.
Published online 2011 July 21. doi:  10.1016/S0377-1237(07)80128-6
PMCID: PMC4921707

Complications in Surgery

Surgical therapy being inherently risky, complications are always unwelcome. Complications in surgical practice can be because of the disease, the associated comorbidities or could be because of iatrogenic causes ie the surgeons technical error.

The text book deals with the broad concepts of surgical care and the complications relevant to operations on specific organs. Emphasis has also been laid on surgical epidemiology, disease pathophysiology and the operative techniques. This makes the book, both new in concept and in scope, making it a reference guide in the management of surgical complications.

The first section deals with the institutional issues like contemporary surgical training, continuing education for practicing surgeons, surgical credentials and the future of surgical training. It gives a good insight into the challenges faced by the western institutions and some idea as to their applicability in our scenario.

The next section covers the commonly faced broad surgical complications like shock, fluid and electrolyte disturbance, acute respiratory distress syndrome (ARDS) etc. The chapter on ARDS is comprehensively written, giving a meaningful approach to the management on this dreaded entity. The chapter on electrolyte disturbances is however inadequate in its content and its dealing of commonly encountered problems.

Subsequent sections cover organ specific complications. These complications are covered as they are encountered in the preoperative, surgery and postoperative phase. The book also has chapters on the complications associated with immunosuppression and transplantation.

Keeping in touch with the changing trends, chapters on complications of laparoscopic surgery and endovascular repair are well written. Subsequent chapters cover surgery for cancer and endocrinal disorders followed by paediatric surgical complications. However there is nothing pertaining to polytrauma or head and spinal injuries which is quite relevant in this era of increasing road traffic accidents (RTA) and escalating violence be it military or civilian. This book is a good buy for the young surgeons who can use it as ready reckoner in dealing with the commonly faced surgical complications.

Articles from Medical Journal, Armed Forces India are provided here courtesy of Elsevier