The document discusses external sorting techniques used in database management systems. It describes the external merge sort algorithm which divides the data into sorted runs in the first pass and then merges the runs in subsequent passes to fully sort the data. The number of passes depends on the number of buffer pages available. Using a clustered B+ tree index to retrieve records in sorted order is more efficient than external sorting, but an unclustered B+ tree would require one I/O per data record, making it very inefficient for sorting.