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July 29, 1916


Author Affiliations

Fellow of the American College of Surgeons OSHKOSH, WIS.

JAMA. 1916;LXVII(5):335-338. doi:10.1001/jama.1916.02590050013005

In a recent clinic (June, 1915) Murphy says, "We surgeons are not talking enough about early operation in appendicitis." That, I take it, depends on the audience. At such a gathering as this, one is justified in assuming that the question of acute appendicitis is settled, at least for the time being.

The method and time of treatment, and postoperative measures are practically uniform; delay in proper treatment is usually due to uncertainty in diagnosis, and the inexcusable estimated general hospital mortality of 10 per cent. is due to failure of some one to recognize well accepted principles of surgical diagnosis or treatment.

The question of chronic appendicitis calls for attention, not because of a high mortality rate, but because of a rather disconcerting morbidity rate, a postoperative persistence of symptoms. When a patient complains of the same symptoms after appendectomy as before the operation, there is sufficient reason for

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