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October 30, 1915


JAMA. 1915;LXV(18):1548-1549. doi:10.1001/jama.1915.02580180052016

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Removal of the appendix through the right internal inguinal ring is not a new procedure; it has probably been done, in a more or less unpremeditated manner, by many surgeons; but, so far as I can learn, the method has never been advocated as a justifiably integral part of a right inguinal herniotomy.

The now well-established custom of removing the appendix whenever the lower abdomen is opened led me to adopt the habit of carrying out the same prophylactic procedure during the performance of all right inguinal herniotomies, whether of the oblique or direct type. The femoral ring is usually too far removed for this purpose. I have performed the operation over fifty times with uniform good results. In no case has infection occurred, either within the peritoneal cavity or in the inguinal canal; the wounds have healed with normal rapidity and, so far, no relapses of the hernias have

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