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February 1955

APPENDICITIS: A Fifteen-Year Survey

Author Affiliations

Ann Arbor, Mich.

AMA Arch Surg. 1955;70(2):207-212. doi:10.1001/archsurg.1955.01270080053009

IN 1949, a 10-year survey of the treatment of appendicitis in St. Joseph Mercy Hospital, Ann Arbor, Mich., was published.1 For comparison, that report was divided into two five-year periods, 1935 to 1939 and 1940 to 1944. A considerable improvement in the over-all mortality, from 2.6 to 1.1%, was noted. The variable factors were considered, and sulfonamides available during the second period were given the greatest credit, inasmuch as postoperative peritonitis had been greatly reduced. It is the purpose of this report to add a third five-year period, 1947-1951, which was notable in that penicillin and certain other antibiotics became readily available and the mortality reached a figure which is probably the irreducible minimum. This remarkable reduction in the mortality has been noted recently by other authors.* Although this great improvement has been made, there are still problems in the treatment of appendicitis that warrant discussion.

In this study

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