Experienced surgeons make the statement that if they should have 100 consecutive cases of appendicitis and should operate on all of them as soon as the diagnosis was made, they could show a better list of perfect recoveries and a smaller death-rate than if 100 similar cases were treated on the expectant plan and those only operated on which were finally selected by conservative practitioners. I agree with the above statement, but not with the assertion of the ultra-conservative members of the profession when they say that the radical surgeons insist that every patient should be operated on immediately. I never heard a surgeon say so. Surgeons say that it would be better if every case could be operated on, but every careful surgeon selects the time and method of operation in each case. And each case varies. Even if we say that every case ought to be operated on,
CARSTENS JH. SOME FACTS ABOUT APPENDICITIS. MEDICAL AND SURGICAL. JAMA. 1900;XXXV(11):672–674. doi:https://doi.org/10.1001/jama.1900.24620370014001d
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