Twenty years ago no progressive gynecologist or general surgeon would have been without a copy of Te Linde's Operative Gynecology. Residents studied it before going into the operating room, and specialists taking their board examinations honed their wits on it. Because previous editions are held in such esteem by older gynecologists, any criticism of the present one is almost like stoning a sacred shrine. Unfortunately, however, this edition does not have the pertinence of its predecessors.
The book is a very personal record of the techniques used on Dr. Te Linde's service at Johns Hopkins. Young men, well trained at other institutions, are likely to look askance at a regimen that keeps patients on liquid diets for a week postoperatively, that routinely uses stay sutures in closing laparotomy wounds, and that hospitalizes all patients for 14 days after hysterectomy.
Almost every gynecological operation, from outmoded and discredited procedures to modern