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August 11, 1906


JAMA. 1906;XLVII(6):426-430. doi:10.1001/jama.1906.25210060030002f

The term appendicostomy, although less than four years in use, has already been applied to describe two entirely different conditions. It was first suggested by Willy Meyer, in 1902, to designate an operation devised by Dr. Robert F. Weir, which consisted in the fixation of the appendix to the skin of the abdomen and utilizing its caliber and opening, into the cecum for the purposes of washing out or medicating the colon in chronic inflammation of this organ. The term appeared so appropriate that it was at once adopted by the profession and until the early part of the present year was used as synonymous with Weir's operation. Unfortunately, Lance,1 either ignorant of or ignoring Meyer's use of the term, has employed it to describe the following procedure. In cases of appendicitis where the appendix is bound down by adhesions so that it can not be extricated, he cuts