The sun. [volume] (New York [N.Y.]) 1833-1916, 1899-11-29

by means Of the blood There is a report of'an
observation Of the passage Of a bacterium from
an appendix nbccss through the intact wall OF
ncghborng organ, so that IL would almost sccTn
that the menace ui the appendix and the ills ap
pertaining to 1t were relentless as fate
Records 81 appendicitis although not by that
name, which the doctor says Is n barbnnsm, go
back to 1912 The early ones for more than
hundred years only describe condition now
Of appendicitis MS distinct disease was IN 1859
but even down to 1875 knowledge 81 the existence
Of The disease wss sy no means general In
studied until 1901 Dr. Edcbohls says The
diagnosis Of acute appendicitis. was advanced
by McBurney when, in 1889, he discovered and
established NE value 81 'Mchurney's point
Edrhohls. of pnlpnuon 81 the yermiform nrrendi
finally placed US in position :" diagnose clearly
every cnsc OF acute, appendicitis
Although there has been n belief that men
were more su6iec! ,hnn women to me dTa~
was found in 81 per cen, 81 the females and 65
per cent Of the males, and in l2s autopsics re
dtcis were found in ca per cent d the women and
normal orPsnasss YER found a. sSf G,n ns.
sppcndi;iis The appendi, averages . half
hundred autorsies have shown as high r,o-
portion Of cases as above 81 ,Err cent whrre inc
apnrndis, was oblitcrated There is only one
well authenticated case 81 congenitnl ABSENCE
y the appendix One reason for the happiness
of the ancicnts seems to nppear in the sts'eme n.
that the very existence Of the APPENDIX d"es M,
seem 10 have hern recognized prior to the siNteenh
century. There is one genuine record OF ieIt
sided appendicitis. bu, Il was The cas- "i soldier
The first operation for appendicitis, so lar 90
the records show, was in 1859 That was for
removal Of the appendix The Inauguration
ot the modern surgical treatment OF nppcndtcnlaI
nbcrsscs did not come until 1867, nt Enemfis
itself rs il il now practised The doctor conunues
The frs, rec rlcd operation on the Appendix
on Aug Fl. isss. BY Symonds Mahomed dag
nosticated a stone in tho appendix Symonas
removed the stone, three touTths ny one MAJ. nnrn
The patient recovered and WAS, cured o, nj nus
symptoms In connection with this case ~ mohdH
becomes prophetic IN relation 70 the iuturc re
moval Of the appendix in s.mtlat cars i nane
found but three other instances o' OPERATION upon
The arTn5A sogpnE snG {" i" IL. I removal
10 6 ss 9rads Sn "sS'
one one dis sd,sournsins tea,ure All Of them were
fatal The hrss successful removal ~ ,nr ap-
pendN vas lrIiotrcd on MAY g. 1850; ana ,E ,ns.r-
dix in acute appendicitis rapidly became fecuE-
nizrd and oit.undeEtakcn procedure As cat.y
tonnes Of his own with six rccp'crrs ana one
death. Since that time scores OF operators mum
bcr thcr nrIfndiCrStomleh luI hCu' hPi'hui'i,'
by the hundreds S'nCr 1890 the large majority
Of surgeons with a name advocate removal ol we
appendix III, acute appendicitis as ,hc routine
procedure, always 10 I've HUcmrt,l save under
most exceptional conditions In direct opposition
To the modern tendency IN remor" the appendix
whenever feasible, and yalnly attempting to stem
the tide We lind barton lllr, j. N, Barton, Of
Philadelphia. az late ~ 1904, md few others
even more recently. preaching the doctrine OF
leaving the appendix IN operation fer acute apprn
diciliS claiming better results from this practice
That this claim does not hold good in the work
ui better Operators goes without saying"