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June 17, 1950

Acute Appendicitis and Its Complications

JAMA. 1950;143(7):690. doi:10.1001/jama.1950.02910420078035

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The author, an assistant professor of clinical surgery in Tulane University, justifies his publication by the estimated 5,153 deaths from appendicitis in the United States in 1947, due largely, he believes, to procrastination, purgation and an unwarranted dependence on chemotherapy and antibiotics. As a basis he has analyzed the case histories of 6,441 patients treated for acute appendicitis at the Charity Hospital, New Orleans. In this series there were 320 deaths. The history of appendicitis, its etiology, diagnosis, treatment, special types and the relation of age, pregnancy and trauma are carefully considered, with many illustrative case reports and pertinent excerpts from the literature. While accepting recurrent appendicitis, the author apparently follows the debatable opinion of Hertzler and Boyd on the nonexistence of chronic appendicitis as an entity.

For the most part, the treatment in relation to the operation and preoperative and postoperative care is modern and well presented. Many will

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