Excerpt from The American Journal, Vol. 107: Of the Medical Sciences
The subject of the treatment of appendicitis is by no means exhausted. Since my last report of eighty-seven cases, published in the Boston Medical and Surgical Journal of August 4, 1892, I have seen one hundred and two cases in which the question of operation for a probable appendicitis was raised. Of these, eight proved to be some other abdominal disease, as shown either by operation or by autopsy. In the remaining cases some affection of the vermiform appendix was undoubtedly present. This list does not include the cases I have seen with my colleagues at the Hospital. In my own there have been forty-three deaths. At least thirteen of these were moribund at the time of my first visit. In my private surgery the deaths from this disease have exceeded many fold those from all other causes combined. In the surgical wards of the Massachusetts General Hospital in the last four years there have been one hundred and thirty-six cases, exclusive of thirty-one of my own. The greater number of these in the practice of my colleagues I examined myself In a total of one hundred and thirty-two operations there were one hundred recoveries and thirty-two deaths.
Even with this large experience I still feel in grave doubt as to the proper treatment of certain cases. Many of my colleagues with large experience have expressed misgivings as to many questions that have arisen from time to time, as new or unusual conditions have appeared.
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