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September 27, 1902


JAMA. 1902;XXXIX(13):777. doi:10.1001/jama.1902.02480390043011

It will not be denied that the one certain means of preventing recurrence of appendicitis is removal of the offending organ. There are still a considerable number of practitioners, however, who adhere to medicinal treatment for the attacks, but who also realize that recurrence may take place at any time. The difficulty of the situation and the danger from nonsurgical intervention resides in the fact that no one can determine in advance the nature of an attack and its mode of termination, so that the vast majority of clinicians have come to believe that the risk of operation is to be preferred to the uncertainty of outcome without surgical intervention. An additional factor that must be taken into consideration in this connection is pointed out by Drs. R. H. Harte and R. N. Willson,1 namely, the possibility of malignant disease of the appendix giving rise to symptoms of inflammation