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The article by Dr. John A. Wyeth, in The Journal, Nov. 24, 1906, reminded me of two patients on whom I recently operated.
The first patient, a man of 67, had suffered with a large inguinal hernia for many years. On opening the sac I found that it contained the cecum, the adherent appendix and part of the ileum. The appendix, though not inflamed, was removed, and the abdomen closed by the imbrication method of Fowler. Recovery was uneventful.
The second case was that of a woman of 62, who suffered from an inflamed bubonocele. The sac contained a structure of whose identity I was not altogether certain until I had examined it closely, but which proved to be the appendix. The constricted ring was incised and the hernia repaired by the Bassini method, the appendix being removed in the usual way. There was nothing unusual about the recovery. The
HAWKINS JA. APPENDECTOMY DURING HERNIOTOMY.. JAMA. 1907;XLVIII(14):1182. doi:10.1001/jama.1907.25220400034002c