It is in this book...that Bromfield gave the first authentic interpretation of Celsus regarding what was later called bilateral lithotomy. -- H.W. Orr.

This work is much more than an appendix to the author's prior publication, A practical treatise on wounds and other chirurgical subjects (1767). It constitutes a new work with cases and observations not appearing elsewhere. Gooch discusses the establishment of the new Norfolk and Norwich Hospitals, how they should be set up and how the wards should be equipped and run. He gives advice for both outpatient as well as inpatient care, and has included detailed minutes of those with epidemics. Included among a few of the up-to-date cases are cancerous diseases and their treatment, enlarged liver, effects of large doses of opium, and a 'lunatick's swallowing an iron pin of a door more than five inches long and two in circumference, and the consequences.'