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Article
November 24, 1906

APPENDECTOMY THROUGH THE OPERATIVE WOUND FOR THE RADICAL CURE OF RIGHT INGUINAL HERNIA.

Author Affiliations

Professor of Surgery at the New York Polyclinic Medical School and Hospital. NEW YORK.

JAMA. 1906;XLVII(21):1738. doi:10.1001/jama.1906.25210210046002e

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Abstract

Four times within the last fifteen months, in operations for the radical cure of oblique inguinal hernia of the right side, the cecum and appendix were involved, and in these the appendix was removed. These cases presented no difficulty, so far as the appendectomy was concerned, for the reason that this organ had descended into the hernial sac.

History.  —On Oct. 7, 1906, I operated on a man suffering with a right oblique inguinal hernia, who also gave a history of three well-marked attacks of appendicitis of the relapsing type. I advised him to have this organ removed at the same operation in which the radical cure of the hernia was undertaken, as there were at this time no symptoms of disturbance about the appendix.

Description of Operation.  —Through the usual incision for the Bassini operation the sac was opened and a loop of small intestine returned to the abdominal

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