Inflammation of the Vermiform Appendix

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Excerpt from Inflammation of the Vermiform Appendix: Its Results, Diagnosis, and Treatment, Together With the Reports of Seven Cases of Excision of the Vermiform Appendix for Perforative Appendicitis, With Exhibition of Five of the Patients Laparotomy for perforative appendicitis, with removal of the organ, is now an established surgical procedure, and yet so recently has this operation been introduced that I am able to present the patient upon whom I operated in April, 1887, for pericæcal abscess with peritonitis, which I believe represents the first successful operation for the removal of the vermiform appendix in a case of this kind, based upon correct diagnosis. It is true that Hall, of New York, in 1886, in an abscess associated with right inguinal hernia, after evacuating the abscess, had discovered and removed an ulcerated appendix, and the patient recovered, but the diagnosis of perforative appendicitis was not made until after the abscess was opened. More recently, a number of cases of excision of the appendix have been reported by Weir, Treves, Nancrede, and others. In the case to which I have referred and now present, general peritonitis was developing, the history and symptoms indicated abscess, and pointed to the appendix as the cause of trouble. Upon incision, an abscess cavity was entered at a depth of an inch or more below the external surface, a free flow of pus followed, and the cæcum and its diseased appendix, which was perforated, came into view. The latter was excised, the peritoneal cavity washed free of pus and drained, with immediate relief and prompt recovery. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.