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The fact that acute appendicitis is considered ordinary and uninteresting might be partly responsible for the fatality rate, which is certainly too high.
This report includes only cases of acute appendicitis and gives the age incidence, the number of males compared with the females, the occurrence in negroes compared with whites, the seasonal incidence, the average hospital stay and the number of perforated and non-perforated cases.
In the perforated group those with generalized peritonitis are compared with the ones which had frank abscess formation, giving the fatality rate of each. Definite evidence is presented to show that the cases which are allowed to form an abscess have a much better prognosis after operation than those cases operated with a spreading generalized peritonitis.
Reasons are given for our preference in using a McBurney incision.
Due credit is given the members of the medical service for their helpful cooperation.
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© 1936 Published by Elsevier Inc.