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In presenting this subject the writer wishes to deal with its pathology and surgical treatment; and report successful clinics that have occurred in private country practice with the giants of the profession, viz., the general practitioners. There is no theme of more surgical importance than appendicitis, with or without perforation and gangrene. Whether we be physicians, general or abdominal surgeons, sooner or later we must confront suppurative appendicitis with purulent peritonitis.
As a rule the general practitioner is the first to see these cases. Upon his knowledge of pathology, early diagnosis, complications and surgical treatment, hangs the life and destiny of the patient; and it is incumbent upon him to give the danger signal, operate, or call a surgeon who will, and save life. Not an ideal, but life-saving, conservative surgery. It is not so much how many operations are performed, as how many lives can be saved? For a
CARPENTER JG. APPENDICITIS WITH PURULENT PERITONITIS. JAMA. 1897;XXVIII(7):294–298. doi:10.1001/jama.1897.02440070008001b
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