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April 7, 1906


Author Affiliations

Professor of Abdominal Surgery and Gynecology, Ensworth-Central Medical College. ST. JOSEPH, MO.

JAMA. 1906;XLVI(14):1011-1013. doi:10.1001/jama.1906.02510410013003

Were it possible under all circumstances, in the treatment of appendicitis, to follow the dictum to operate within the first twenty-four to thirty-six hours from the onset of the disease, we would not be confronted with the varied pathology and the many mooted questions of dealing with it in attempting to treat this disease successfully. The early operation will, however, probably never become the universal practice, and we will still continue to encounter all of the different pathologic conditions that are associated with neglected cases of the disease.

The reasons why the early operation will never become the universal practice in appendicitis are chiefly the following:

(a) The family physician, and not the surgeon, is usually called to diagnose and treat the disease in the beginning. It is expecting too much of the family physician when we look to him to diagnose the disease and to call the surgeon all

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