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July 30, 1910


Author Affiliations


JAMA. 1910;55(5):363-364. doi:10.1001/jama.1910.04330050001001

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No attempt shall be made in this brief paper to consider the treatment of appendicitis in detail. The time-worn and hackneyed questions of "When should we operate?" and "When should we delay operation?" will be scrupulously avoided, as will many other phases of this familiar subject. It is my intention to confine these few remarks to a consideration of the question, "Should or should we not remove the appendix in practically every case of localized appendicular abscess?"

In perusing the literature on this question, or in attendance at the various surgical clinics throughout the country, we find as probably the most frequently employed plan, the removal of the appendix when it presents itself freely within the confines of the abscess, while in those cases in which it is adherent and buried by the intestinal coils, the operation is limited to simple incision and drainage, leaving the appendix to be removed

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