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Operative Dictations in Urologic Surgery

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This is an essential book for all urological surgeons. It should be studied by urological residents as well as mature urological surgeons to enhance the knowledge of information needed in an operative report.

The details of the necessary information in an operative report are provided for virtually all urological procedures that I can think of, including open surgery as well as endoscopic, percutaneous, laparoscopic, and robotics. Each procedure has a template that serves as a valuable guide for the detailed information to be included in the opera tive record so it provides essential information should the surgeon need to recall what was done if complications occur or the procedure fails, and it is available for review years later if necessary.

In addition, the operative record is a legal document, and detailed procedures are necessary should a medico-legal issue arise. In my review of operative dictations in medico-legal issues, I find operative reports are frequently inadequate and deficient in details of the operation. A sound operative report can address many issues that can potentially arise, and this book provides the necessary guidance in a format that will result in an excellent, comprehensive report even in the most complex procedures.

Another wonderful aspect of this book is that it serves as a verbal atlas for the 126 surgical procedures provided. A surgeon can read the examples of each procedure and, with previous understanding of anatomy and pathology, can know in detail, from start to finish, how the procedure is done. I find this a rewarding feature.

The authors, Professors Armenakas and Fracchia, are outstanding surgeons who have successfully demonstrated in this book the detailed methodology of composing an operative dictation. They have included Dr. Golan, the chief urology resident at Cornell, to have input and insight from a young surgeon, which adds diversity and completeness to the project.

This is a unique book and a “must” for every urologist.
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