the SECOND SURGEON: When to call across general surgery-gynaecology boundary

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Bol Two surgeons who work on either side of the same anatomy have written the book they wish they had been handed as trainees.The general surgeon and the gynaecologist share a pelvis and almost nothing else: not the vocabulary, not the imaging, not the things they are afraid of. When an operation crosses that boundary there is usually a quarter of an hour in which the outcome is still open. The appendix that turns out to be normal. The bowel stuck to the back of the uterus. The mass nobody expected. The bleeding whose source cannot be seen.The Second Surgeon is about that quarter of an hour. Thirty short chapters, each opening with a case and closing with two lists: when to call, and when not to. The chapters alternate between the two authors, so the reader hears each problem described from inside the other theatre.It covers the right iliac fossa that is not the appendix, the frozen pelvis, the enterotomy, the ureter, obstetric haemorrhage, placenta accreta, the perineum, and the planned joint operation that most emergency calls should have been. Every figure quoted is anchored to a named guideline or study.Written for registrars and residents who have begun to feel the particular loneliness of a case going somewhere unexpected, and for the consultants who answer the phone at two in the morning.

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Two surgeons who work on either side of the same anatomy have written the book they wish they had been handed as trainees.The general surgeon and the gynaecologist share a pelvis and almost nothing else: not the vocabulary, not the imaging, not the things they are afraid of. When an operation crosses that boundary there is usually a quarter of an hour in which the outcome is still open. The appendix that turns out to be normal. The bowel stuck to the back of the uterus. The mass nobody expected. The bleeding whose source cannot be seen.The Second Surgeon is about that quarter of an hour. Thirty short chapters, each opening with a case and closing with two lists: when to call, and when not to. The chapters alternate between the two authors, so the reader hears each problem described from inside the other theatre.It covers the right iliac fossa that is not the appendix, the frozen pelvis, the enterotomy, the ureter, obstetric haemorrhage, placenta accreta, the perineum, and the planned joint operation that most emergency calls should have been. Every figure quoted is anchored to a named guideline or study.Written for registrars and residents who have begun to feel the particular loneliness of a case going somewhere unexpected, and for the consultants who answer the phone at two in the morning.


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