I know you have heard the joke about the medical student who told his professor, "I certainly am glad I was on your service because I learned a lot about complications." Aside from the fact that the joke reflects on the attending professor's surgical ability, it is funny because no medical student or resident sees a lot of serious surgical complications. The estimated incidence of injury to the urinary tract or bowel in gynecologic surgery is one in every 1000 to 2000 cases. If one is to gain experience in how to care for these complications, some method of focusing on these rare occurrences must be made.
Dr David Nichols, who is the chairman of the Department of Obstetrics and Gynecology at Brown University, formulated a curriculum of postgraduate courses aimed at focusing attention on complications of gynecologic surgery. This book arose out of his recognition that the knowledge needed