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Foreword to the Fourth Edition
Four years have elapsed since the publication of The Mont Reid Surreal Handbook, Third Edition, and surgical practice has progressed significantly, making a fourth edition seemingly appropriate. The training program at the University of Cincinnati continues to occupy the core of the department with respect to our way of thinking as well as the various functions we serve. This textbook reflects the art and science of medicine and surgery at the University of Cincinnati Medical Center as exemplified by our residents. It is a tribute to the courage, intelligence, hard work, industry, and energy level of the surgical resident staff that is carefully selected, highly motivated, and above all an excellent and humanistic group. The expanding faculty's imprint is present in the protocols that have been established and the practices that currently go on at the University of Cincinnati; however, this volume appropriately represents the view of the residents being that the transmission of information from generation to generation has been not so much by the faculty, but by those we have trained.
This volume substantially reflects the important role of new technology in surgical practice, primarily videoscopic surgery, by including individual chapters on videoscopic surgery, laparoscopic cholecystectomy, appendectomy and herniorrhaphy, as well as advanced laparoscopic procedures. In addition, there has been a substantial effort to incorporate gynecological diseases, which will increasingly be seen by general surgeons. Thus, chapters focussing on gynecological malignancies, the management of abdominal pain in pregnancy, and gynecological causes of abdominal pain have also been added. The book is somewhat longer than its predecessors, but we believe that the added material is important enough to justify the length of the text.
Finally, the co-editors of this volume—Dr. Scott Berry, elected as Editor by his fellow chief residents; Robert C. Bass, M.D.; Keith M. Heaton, M.D.; William J. O'Brien, M.D.; Kevin J. Ose, M.D.; and Stephen P. Po-voski, M.D.-have continued to impress me with their industry, excellence, and good humor in the face of adding this project to the myriad of other tasks in a difficult chief-residency year. And to their spouses, who