Some Recent Advances in Inborn Errors of Metabolism

ANUS, RECTUM AND COLON. By J. C. Goligher. Second Edition. (Pp. 1120; figs. 630 and 6 colour plates, 210s). London: Bailliere, Tindall & Cassell, 1967. THE first edition of this work was hailed as "the best book on the subject in the English language". Another reviewer stated "it should be in the library of every proctologist or abdominal surgeon". The second edition maintains the same high standard. It should not be confined to the personal library of the specialist, but should readily be available to all members of the staff of all units undertaking surgery of the colon, rectum and anus. Although junior staff might, on account of the size of the book, feel that it is too detailed for them, they should be encouraged to read it. It describes fully minor procedures such as proctoscopy, sigmoidoscopy, injection of piles, haemorrhoidectomy, and operations for fissure and fistula-in-ano work that is often delegated to senior house officer or registrar. The house surgeon will find the sections on general and specific pre-operative preparation and post-operative care invaluable, and be stimulated to take a more active role in the management of his patients. The experienced surgeon will not have far to look for useful advice about diagnosis, management and operative technique in every chapter, and in particular those dealing with ulcerative colitis and Crohn's disease, which have been extensively revised. The illustrations are a noteworthy integral part of the text. This applies not only to steps in operative procedure or to the portrayal of diagnostic features. The management of an ileostomy, regrettably often dealt with in a perfunctory manner in other works though of major importance to the patient, is illustrated lavishly and clearly in this volume. The historical development of a particular form of management or operation is outlined and evaluated and should interest many, while the full reference lists at the end of each chapter facilitate further reading (if required!) and rcsearch. No praise is too high for this work. W.A.H.