In the fifth edition of this useful office manual, the author has made it even more inclusive as a guide for this important branch of gynecologic practice. The book has always been admirably adapted for both the general practitioner and the specialist.
One questions the advisability of many physicians doing some of the more complex procedures in the office, such as sterilization by coagulation of the uterine cornu. The description of local anesthesia for dilatation and curettage also hints that this is an office procedure, which indeed it can be, but should not be frequently, nor should it be done there by many physicians.
Space allotted to older office practices, such as the use of pessaries, douches and pelvic heating, is reduced somewhat, and properly so. However, these portions of the book remain adequate and are most practical.
The chapters on endocrinology and menstrual irregularities are both factual and good.