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Article
February 17, 1900

THE HOCKEY-STICK INCISION.A TYPICAL MODE OF ENTERING THE ABDOMINAL CAVITY IN CERTAIN COMPLICATED CASES OF APPENDICITIS.

Author Affiliations

Professor of Surgery at the New York Post-Graduate Medical School and Hospital; Attending Surgeon to the German and New York Skin and Cancer Hospitals; Consulting Surgeon to the New York Infirmary. NEW YORK CITY.

JAMA. 1900;XXXIV(7):385-387. doi:10.1001/jama.1900.24610070001001
Abstract

The first question that presents itself to the surgeon when operating for appendicitis is that as to how and where he had best make his incision. The main point by which he is guided in deciding this is the nature of the case under consideration; that is, whether it be an acute or an interval case.

In interval cases every surgeon nowadays tries to get through with as small an incision as possible and arranges his work in such a way that there will remain no tendency nor possibility of the appearance of a ventral hernia. Thus he traverses the external oblique and transversalis muscles near the anterior superior spine, bluntly, according to the direction of their fibers— McBurney's gridiron incision1; or he makes the cut at the outer border of the right rectus muscle, then displaces it inwardly in order to reach a spot of its posterior sheath

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