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Pediatric and Adolescent Gynecology, 2nd ed

Carol Mosier Bach, MD
[+] Author Affiliations

Abraham Bergman, MD
IndividualAuthor

edited by Joseph S. Sanfilippo, MD, David Muram, MD, John Dewhurst, FRCOG, FRCS, and Peter A. Lee, MD, PhD, 702 pp, $125, ISBN 0-7216-8346-0, Philadelphia, Pa, WB Saunders Co, 2001.

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Pediatr Adolesc Med. 2002;156(2):193-193. doi:
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The second edition of this textbook provides a comprehensive study of pediatric and adolescent gynecology. It is divided into 3 sections: "Growth and Development," "Medical Problems," and "Surgical Problems." This format is the same as the first edition.

Four editors and 51 authors contributed to the text. The use of multiple authors provides a wide range of expertise by recognized authorities in their specialties. The associate editors also coauthor several chapters, which gives continuity to the sections. The quality and usefulness of the figures and tables are excellent, and the quality of the photographs varies from adequate to excellent. The use of recent references indicates that current information was incorporated in most chapter revisions.

The first section provides an excellent review of human growth and development. Complex embryological, hormonal, and genetic aspects are covered in detail. The chapter called "Molecular Biology and Genetic Aspects" introduces uterine abnormalities, and this topic is also covered in the "Diagnostic Imaging" chapter and again in the surgical section chapter on "Sexual Developmental Anomalies and Their Reconstruction." The reader who is studying this topic is required to move back and forth through the 3 chapters to get a complete overview of the condition.

The medical section covers a broad range of topics. Several chapters in this section have been revised and updated significantly since the previous edition; new authors wrote 3 of the chapters ("Pregnancy in Adolescence," "Human Immunodeficiency Virus Infection in Adolescents," and "Depression, Suicide, and Substance Abuse"). A chapter devoted exclusively to vulvar dermatology is often missing from pediatric gynecology texts. "Dermatologic Conditions of the Vulva" is excellent, and in this case, the reader benefits from the dermatologist's approach. It is unfortunate that the color plates located at the front of the book were not referenced under the corresponding black and white photographs in the chapter; this oversight occurred again in the chapter on breast disorders in the third section.

The final section covers surgical problems and provides an excellent overview of sexual developmental anomalies and reconstruction, urologic problems, breast disorders, oncologic problems, and chronic pelvic pain. The last chapter continues a trend from the first edition and discusses future perspectives. The discussion is thought-provoking and invites readers to make their own predictions about the future of pediatric gynecology. This edition also has 5 appendices; the consultant will find "Appendix E: Commonly Used Medications" especially helpful.

The reediting and rewriting of several chapters has generally improved the readability of this edition, but it remains a textbook that is best used as an adjunct to a more clinically focused text. Consultants and educators will find it an excellent reference when they want to expand their own depth of knowledge about a subject.

I recommend this text for subspecialists and consultants who work in the fields of pediatrics and adolescent medicine. A text that is more clinically oriented will better serve the needs of the general pediatrician, adolescent medicine specialist, emergency department physician, and general practitioner.

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