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Conservative Treatment of Appendiceal Peritonitis

Conservative Treatment of Appendiceal Peritonitis Abstract To the Editor.—The study by Drs Edward L. Bradley and James Isaacs entitled "Appendiceal Abscess Revisited" (Arch Surg 113:130-132, 1978) is well done and deserves commendation. However, I would like to emphasize that it was not J. B. Murphy who first advocated subsequent removal of the appendix after the conservative treatment of appendiceal peritonitis, but A. J. Ochsner, who originally advocated the conservative treatment of this condition. The authors emphasize "the alarming number of complications" following drainage of an appendiceal abscess, although there was only one death in the 36 cases so treated. Of the 28 cases with complications, 18 (50%) resulted from the original infection. Ochsner and Percy in 19171 reported 55 cases similarly treated long before antibiotics were available, with 4 deaths (3.4%). Later this mortality was reduced to 2.2%. It must be emphasized that as undesirable as complications are, they are much better. As Murray References 1. Ochsner AJ, Percy NM: A New Manual of Surgery , ed 6. Chicago, Cleveland Press, 1917. 2. Ochsner A, Murray S: Appendicitis . Am J Surg 46:566-584, 1939.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Conservative Treatment of Appendiceal Peritonitis

Archives of Surgery , Volume 114 (6) – Jun 1, 1979

Conservative Treatment of Appendiceal Peritonitis

Abstract

Abstract To the Editor.—The study by Drs Edward L. Bradley and James Isaacs entitled "Appendiceal Abscess Revisited" (Arch Surg 113:130-132, 1978) is well done and deserves commendation. However, I would like to emphasize that it was not J. B. Murphy who first advocated subsequent removal of the appendix after the conservative treatment of appendiceal peritonitis, but A. J. Ochsner, who originally advocated the conservative treatment of this condition. The authors emphasize...
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Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1979.01370300109026
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—The study by Drs Edward L. Bradley and James Isaacs entitled "Appendiceal Abscess Revisited" (Arch Surg 113:130-132, 1978) is well done and deserves commendation. However, I would like to emphasize that it was not J. B. Murphy who first advocated subsequent removal of the appendix after the conservative treatment of appendiceal peritonitis, but A. J. Ochsner, who originally advocated the conservative treatment of this condition. The authors emphasize "the alarming number of complications" following drainage of an appendiceal abscess, although there was only one death in the 36 cases so treated. Of the 28 cases with complications, 18 (50%) resulted from the original infection. Ochsner and Percy in 19171 reported 55 cases similarly treated long before antibiotics were available, with 4 deaths (3.4%). Later this mortality was reduced to 2.2%. It must be emphasized that as undesirable as complications are, they are much better. As Murray References 1. Ochsner AJ, Percy NM: A New Manual of Surgery , ed 6. Chicago, Cleveland Press, 1917. 2. Ochsner A, Murray S: Appendicitis . Am J Surg 46:566-584, 1939.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1979

References

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