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The following method of ligating the appendix is submitted because of the many recent reports of hemorrhage following this operation. The method consists in setting a snare within the cavity of the cecum to catch the appendix when the latter is inverted. This snare may be set with an ordinary straight needle by using the blunt end as a point, but it is not the proper instrument for this purpose. To do it effectively, and with the least danger to the patient and injury to the tissues, requires a special needle (Fig. 1) with an eye at its point.
It is assumed that the appendix is delivered without the abdominal cavity and that the mesoappendix has been ligated. Furthermore, that the circumference of the cecum is divided into thirds. The method is applicable in all ordinary cases of appendicitis, but not in those cases where the appendix can not or
PENNINGTON JR. A METHOD OF LIGATING THE APPENDIX WITHIN THE CECUM.. JAMA. 1907;XLIX(22):1844-1845. doi:10.1001/jama.1907.25320220032002b