The authors of this fine text have recorded their experiences with more than 3,500 newborn infants with surgical lesions whom they have treated at the Liverpool Neonatal Surgical Center. In their opening chapters, they describe the organization of the center which, during the first six years of its existence, reduced the mortality for neonatal surgery in the Liverpool area from 79% to 24%. The tremendous advantages of centralizing the care for malformed infants is immediately obvious.
The authors then review in detail the metabolic responses of the neonate, therapy with intravenously administered fluids, infections, anesthesia, and complications of surgery. Dr. Rickham thoughtfully included a discussion of the ethics of surgery in newborn infants which should help physicians who must counsel parents as well as struggle with the babies' problems. The remaining chapters, clearly written monographs on the various congenital lesions, are organized by anatomic divisions. There are delightful historical notes,