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APPENDICITIS: A Review of Nine Hundred and Thirty-Six Cases at the Cincinnati General Hospital

APPENDICITIS: A Review of Nine Hundred and Thirty-Six Cases at the Cincinnati General Hospital Abstract IN TWO previous reports from this clinic, all cases of patients with appendicitis admitted to the Cincinnati General Hospital between 1915 and 19341 and 1934 and 19392 respectively were reviewed. The present study is a continuation of this series and will include all cases of patients with appendicitis treated between Jan. 1, 1939 and Jan. 1, 1944. In the preceding articles the general trend toward a reduced mortality rate from appendicitis as seen in this hospital was noted. This favorable trend was attributed to (1) the adoption of the McBurney incision in 1922 for appendectomy and (2) the intensive educational campaign concerning management of appendicitis directed toward physicians and the public. This campaign, fostered by the Public Health Federation and the Academy of Medicine of Cincinnati, is still in progress. The sustained and commendable improvement resulting from the campaign may be gaged by a comparison of certain phases References 1. Reid, M. R.; Poer, D. H., and Merrell, P.: A Statistical Study of 2.921 Cases of Appendicitis , J. A. M. A. 106:665 ( (Feb. 29) ) 1936.Crossref 2. Reid, M. R., and Montanus, W. P.: Appendicitis: An Analysis of 1,153 Cases at the Cincinnati General Hospital , J. A. M. A. 114:1307 ( (April 6) ) 1940Crossref 3. Reid, Poer and Merrell.1 Reid and Montanus.2 4. Annual Report of the City Manager , Cincinnati, Ohio, 1943. 5. Hathaway, H. R., and Watkins, R. M.: Economic State and Mortality in Appendicitis , Ohio State M. J. 39:247 ( (March) ) 1943. 6. (a) Jennings, J. E.; Burger, H. H., and Jacobi, M.: Acute Appendicitis: A Clinical and Pathological Study of 1,680 Cases , Arch. Surg. 44:896 ( (May) ) 1942.Crossref 7. (b) Busch, I., and Spivack, A. H.: Observations on Acute Appendicitis: A Series of 635 Cases , Surg., Gynec. & Obst. 70:241 ( (Feb.) ) 1940. 8. (a) Reynolds, J. T.: Symposium on Abdominal Surgery. Appendicitis: Basic Considerations in Choice of Therapy , S. Clin. North America 24:128 ( (Feb.) ) 1944. 9. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infants and Children , Philadelphia, W. B. Saunders Company, 1941, p. 840. 10. Brett, J. D., and Watkins, R. M.: McBurney Incision in Appendicitis , Ohio State M. J. 39:140 ( (Jan.) ) 1943. 11. Tashiro, S.: Wound Disruption: A Study of 55 Cases at the Cincinnati General Hospital , Surg., Gynec. & Obst. 78:487 ( (May) ) 1944. 12. Reynolds, J. J.: Conservative Management of Appendiceal Peritonitis , New Orleans M. & S. J. 87:32 ( (July) ) 1934. 13. Adams, J. M., and Bancroft, P. M.: The Conservative Management of Appendiceal Peritonitis in Children , J. Pediat. 12:298 ( (March) ) 1938. Reynolds.7a 14. Cave, H.: Incidence and Prevention of Incisional Hernias , J. A. M. A. 101:2038 ( (Dec. 23) ) 1933. 15. Meleney, F. L., and Howes, E. L.: Disruption of Abdominal Wounds with the Protrusion of Viscera , Ann. Surg. 99:5 ( (Feb.) ) 1934. 16. Altemeier, W. A.: The Pathogenicity of the Bacteria of Appendicitis Peritonitis , Surgery 11:347 ( (March) ) 1942 17. Surgical Infections of the Peritoneum , S. Clin. North America 22:437 ( (April) ) 1942. 18. (a) Waugh, J. M.; McCall, C. H., and Herrell, W. E.: Intraperitoneal Chemotherapy , S. Clin. North America 23:1144 ( (Dec.) ) 1943. 19. (b) Intraperitoneal Administration of Sulfanilamide, editorial , J. A. M. A. 119:796 ( (July 4) ) 1942. 20. (c) Jackson, A. S.: Chemotherapy in Adjunct to Surgery with Report of Use of Sulfathiazole Intraperitoneally , South. Surgeon 11:274 ( (April) ) 1942. 21. (d) Anglem, T. J., and Clute, H. M.: The Intraperitoneal Use of Sulfanilamide in Gastrointestinal Resections , New England J. Med. 229:432 ( (Sept. 9) ) 1943. 22. Groom, W. S.: A Comparative Study of Mortality 1929-1943 Inclusive—Appendicitis , Public Health Federation of Cincinnati, June 1944. 23. Brett and Watkins.9 Jackson.15c http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

APPENDICITIS: A Review of Nine Hundred and Thirty-Six Cases at the Cincinnati General Hospital

Archives of Surgery , Volume 53 (5) – Nov 1, 1946

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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230060555003
Publisher site
See Article on Publisher Site

Abstract

Abstract IN TWO previous reports from this clinic, all cases of patients with appendicitis admitted to the Cincinnati General Hospital between 1915 and 19341 and 1934 and 19392 respectively were reviewed. The present study is a continuation of this series and will include all cases of patients with appendicitis treated between Jan. 1, 1939 and Jan. 1, 1944. In the preceding articles the general trend toward a reduced mortality rate from appendicitis as seen in this hospital was noted. This favorable trend was attributed to (1) the adoption of the McBurney incision in 1922 for appendectomy and (2) the intensive educational campaign concerning management of appendicitis directed toward physicians and the public. This campaign, fostered by the Public Health Federation and the Academy of Medicine of Cincinnati, is still in progress. The sustained and commendable improvement resulting from the campaign may be gaged by a comparison of certain phases References 1. Reid, M. R.; Poer, D. H., and Merrell, P.: A Statistical Study of 2.921 Cases of Appendicitis , J. A. M. A. 106:665 ( (Feb. 29) ) 1936.Crossref 2. Reid, M. R., and Montanus, W. P.: Appendicitis: An Analysis of 1,153 Cases at the Cincinnati General Hospital , J. A. M. A. 114:1307 ( (April 6) ) 1940Crossref 3. Reid, Poer and Merrell.1 Reid and Montanus.2 4. Annual Report of the City Manager , Cincinnati, Ohio, 1943. 5. Hathaway, H. R., and Watkins, R. M.: Economic State and Mortality in Appendicitis , Ohio State M. J. 39:247 ( (March) ) 1943. 6. (a) Jennings, J. E.; Burger, H. H., and Jacobi, M.: Acute Appendicitis: A Clinical and Pathological Study of 1,680 Cases , Arch. Surg. 44:896 ( (May) ) 1942.Crossref 7. (b) Busch, I., and Spivack, A. H.: Observations on Acute Appendicitis: A Series of 635 Cases , Surg., Gynec. & Obst. 70:241 ( (Feb.) ) 1940. 8. (a) Reynolds, J. T.: Symposium on Abdominal Surgery. Appendicitis: Basic Considerations in Choice of Therapy , S. Clin. North America 24:128 ( (Feb.) ) 1944. 9. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infants and Children , Philadelphia, W. B. Saunders Company, 1941, p. 840. 10. Brett, J. D., and Watkins, R. M.: McBurney Incision in Appendicitis , Ohio State M. J. 39:140 ( (Jan.) ) 1943. 11. Tashiro, S.: Wound Disruption: A Study of 55 Cases at the Cincinnati General Hospital , Surg., Gynec. & Obst. 78:487 ( (May) ) 1944. 12. Reynolds, J. J.: Conservative Management of Appendiceal Peritonitis , New Orleans M. & S. J. 87:32 ( (July) ) 1934. 13. Adams, J. M., and Bancroft, P. M.: The Conservative Management of Appendiceal Peritonitis in Children , J. Pediat. 12:298 ( (March) ) 1938. Reynolds.7a 14. Cave, H.: Incidence and Prevention of Incisional Hernias , J. A. M. A. 101:2038 ( (Dec. 23) ) 1933. 15. Meleney, F. L., and Howes, E. L.: Disruption of Abdominal Wounds with the Protrusion of Viscera , Ann. Surg. 99:5 ( (Feb.) ) 1934. 16. Altemeier, W. A.: The Pathogenicity of the Bacteria of Appendicitis Peritonitis , Surgery 11:347 ( (March) ) 1942 17. Surgical Infections of the Peritoneum , S. Clin. North America 22:437 ( (April) ) 1942. 18. (a) Waugh, J. M.; McCall, C. H., and Herrell, W. E.: Intraperitoneal Chemotherapy , S. Clin. North America 23:1144 ( (Dec.) ) 1943. 19. (b) Intraperitoneal Administration of Sulfanilamide, editorial , J. A. M. A. 119:796 ( (July 4) ) 1942. 20. (c) Jackson, A. S.: Chemotherapy in Adjunct to Surgery with Report of Use of Sulfathiazole Intraperitoneally , South. Surgeon 11:274 ( (April) ) 1942. 21. (d) Anglem, T. J., and Clute, H. M.: The Intraperitoneal Use of Sulfanilamide in Gastrointestinal Resections , New England J. Med. 229:432 ( (Sept. 9) ) 1943. 22. Groom, W. S.: A Comparative Study of Mortality 1929-1943 Inclusive—Appendicitis , Public Health Federation of Cincinnati, June 1944. 23. Brett and Watkins.9 Jackson.15c

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1946

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