The technique of operations for acute appendicitis has been studied and discussed by a splendid array of the world's best surgeons. Nevertheless opinions continue to differ not only as to the immediate objects of operative interference but also as to the technical methods by which these objects are to be accomplished. Some of the operators whose lists are longest and whose statistics make the best showing are extremely vague when it comes to a working description of their methods. The incision which each writer affects is carefully described; the statement made that the intestines are carefully protected by gauze; the appendix carefully removed or carefully left in and a few sutures inserted. But in my opinion the most important part of the operation consists in the protection of the normal serosa from infectious matter and the application of the gauze drain. These points are not carefully dwelt upon as a
VAN HOOK W. THE TECHNIQUE OF OPERATIONS FOR ACUTE APPENDICITIS. JAMA. 1897;XXVIII(8):340–346. doi:10.1001/jama.1897.02440080006002
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