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June 1, 1901

DIAGNOSIS AND SYMPTOMATOLOGY IN THE APPENDICITIS OF CHILDREN.

JAMA. 1901;XXXVI(22):1547-1555. doi:10.1001/jama.1901.52470220021001e
Abstract

So much has been published in medical literature of late on the subject of appendical inflammation, that it might seem but little remained pertaining to it to be further elucidated.

The operative technique in its surgical management has nearly advanced to perfection, so that in properly selected cases, and utilized at the proper time, surgical intervention in skilled hands should be followed by only a very low mortality. The greatest difficulty which confronts the surgeon is not so much how the operation shall be done, as the question of properly interpreting symptoms, locating the precise seat of pathologic changes and appreciating the character of existing complications.

THE GENERAL AND SPECIAL CHARACTERS OF APPENDICITIS IN EARLY LIFE.  In 1827 Melier first accurately described the pathology of appendicitis and recommended the excision of the appendix (Mémoire et observations sur quelques maladies de l'appendice caecal).1 There was no echo to his publication

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