The profession has spent a number of years discussing when to operate in appendicitis and has arrived at a definite conclusion concerning most cases, but there still remains a class of cases in which there is a decided difference of opinion.
In the past few years the extremists have been losing ground. It is some years now since I have met a medical man who claimed that medical treatment is the best for appendicitis and that operations should not be performed. On the other hand, I am not now personally familiar with the work of any surgeon who says that every case of appendicitis should be operated on no matter when the diagnosis is made, although several of my colleagues held that opinion a few years ago, and I was inclined to believe then that operation at all times and under all conditions should be the rule. At that time we had just learned that by operating on acute appendicitis early we could save nearly all cases.
MOORE JE. WHEN NOT TO OPERATE FOR APPENDICITIS. JAMA. 1905;XLIV(25):1976–1979. doi:10.1001/jama.1905.92500520004001a
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