Russell's foreword is a beautiful synthesis of the subject, from the very beginning of transplantation research to the possibility of growing organs from stem cells -- partial humans, as it were. It is followed by Hamilton's chapter on the quest for tissue replacement, certainly one of the best historical perspectives ever written. Prominent in this chapter is a photograph of transplantation pioneers at the 1974 David M. Hume Memorial Symposium. Lower stands out as the only participant wearing a white coat; perhaps he wore it to underline Hume's dedication to patient care.
Several chapters deal splendidly with basic science as it applies to transplantation. Following these are somewhat belabored chapters on immunosuppression, with the exception of that by Calne, who makes an essentially cameo appearance. His two-page treatment of azathioprine is a welcome departure from the more lengthy discussions of other immunosuppressant strategies.
Discussions of techniques for organ preservation precede chapters that are dedicated to the transplantation of specific organs, most with separate attention to pediatric transplantation. In several well-written chapters, complications of and systemic considerations related to organ transplantation tend to bind together all aspects of transplantation. Infection and neoplastic complications deserve and receive special emphasis.
The chapter by Ginns and Wain on pulmonary transplantation mentions lobar transplants from living donors, a relatively new approach to the problem of the scarcity of donor organs. The two hottest areas in transplantation -- genetic engineering and xenografting -- are treated with cautious optimism. Finally, transplantation as it affects society and its now considerable bureaucracy are nicely presented.
Two features of this book stand out and should be mentioned. Most chapters, which in essence are miniature books, are followed by a so-called commentary by another expert in the field, who in most cases does not offer a contrary opinion. If one read only the commentaries, one would still be well exposed to the subject. The second noteworthy feature is a collection of 42 beautiful color plates of images from transplant pathology and various other areas in this field.
This book is a great reference source for libraries and transplantation services. It is probably not needed on the bookshelf of the individual clinician who performs transplantations.
Reviewed by Norman Shumway, M.D.
Copyright © 1999 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
Product Details
Would you like to update product info or give feedback on images?
|
|
There are no customer reviews yet.
|
|||
|
Video reviews
|
|
Tag this product(What's this?)Think of a tag as a keyword or label you consider is strongly related to this product.
Tags will help all customers organize and find favorite items. |
|
This product's forum
Active discussions in related forums
Search Customer Discussions
|
Related forums
|