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November 1961

Appendiceal Lesions: Observation in 4,000 Appendectomies

Author Affiliations

From the Department of Pathology, St. Anthony Hospital.

Arch Surg. 1961;83(5):661-666. doi:10.1001/archsurg.1961.01300170017005

Diseased appendices cause frequent and occasionally troublesome problems for the surgeon. Usually the problem is one of acute inflammation, and surgical removal is an effective cure. However, with careful examination of surgical specimens, it is apparent that thoughtful consideration should be given to lesions encountered in this small organ.

Methods  A survey of 4,000 consecutive appendices removed in a general hospital is herein reported. All appendectomies were performed during a 6-year period ending in March, 1959. Data examined included clinical history and pathological reports. Three sections of each appendix, including a longitudinal section of the tip, were examined.Using the clinical history, we separated the cases into primary and incidental appendectomies. Considered as primary were those appendices removed without other surgical procedures being performed. In most primary appendices a preoperative diagnosis of acute appendicitis was listed. Under the group heading "incidental" were considered all appendices removed incidental to hysterectomy, cholecystectomy,