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November 1947

ACUTE APPENDICITIS: An Analysis of Eight Hundred and Seventy-Eight Cases at St. Luke's Hospital, Chicago

Author Affiliations

From the Departments of Surgery, St. Luke's Hospital and the University of Illinois College of Medicine.

Arch Surg. 1947;55(5):530-538. doi:10.1001/archsurg.1947.01230080539003

APPENDICITIS, as a clinical entity, has been recognized since 1886, when Fitz,1 of Boston, coordinated the theories of inflammatory disease in and about the cecum. He originated the term "appendicitis" and described the clinical picture, placing particular emphasis on its early diagnosis and treatment. Among the pioneers in the development of the technic for the removal of the appendix were Sands, listed by Ficarra,2 McBurney,3 McArthur4 and Murphy.5 Sands was among the first to attempt drainage of an appendical abscess. McBurney, in 1894, reported the technic of the muscle-splitting incision, advocating its use exclusively for nonsuppurative, chronic or interval appendicitis. McArthur had then been using the same incision for over three years. McArthur advocated its use in all types of appendicitis, including fulminating types of appendical infection. The mortality rate resulting from acute appendicitis prior to the adoption of chemotherapeutic measures was reported by various