The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1900-01-06
Latest About APPENDICITIS.

1t was only SIX or seven years ago
that the first operations for appendi-
citis we're performed. Nearly every
newspaper reader can look back and
remember the time when the success
ful application of this new process in
surgery was spoken Of with awe and
admiration Today, il Il goes without
saying, the operation is one Of the
commonest known to medicine. The
disease itself is new" in the sense that
II is newly isolated and recognized
Formerly. cases of appendicitis we're
Ciassed with inflammation of the how
els, and the dread in which that dis
ease used to be held grew largely out
ri the constant recurrence of these ne
culiar, quick cases. I'm which the victim
was carried on with an alarming swift
ness. The discovery Of fruit seeds q,
other obstruction IN the aprerdix ir
cases diagnosed after death first gave
surgeons the ere. and inve stigaQor
was followed by the first venturesom-
operations.
Because these first eases were
marked by the presence of crane seeds
etc. in the "death-trap." n was sun
posed, IN the beginning. that this was
always the eaUse of the disease. But
as the doctors learned that the opera
ion IN itself was n comparatively saf-
ard simple ore, they APPLIED IL i'm ar
Increasingly great number Of Cqsaz
and made the discovery that fruit seeds
or other distractions Of the sort caused
a very small percentage Of eases. Srch
distractions are dangerous only whau
they stop the drainage Of the apDardfy
Anything whatever which stUrs the
drainage causes the disease. II NOV
be IN internal obstruction. IN accumu-
'atiOn OF waste matter. a strain. or ar
excessive growth Of the muse es eur
rounding the tract. This lost explains
why so many athletes are stricken with
the disease, ard also why II afTlic;s ST
many more men than women. Again
'hout one-half the cases ore now cured
without operation. by stimulating ma
tire TO relieve the pressure Of her owr
accord.
The judgment &C the modern surgeon
Is taxed 10 its full extent in datp-m'n-
irg between the two courses. Shall he
mt OF the Ore-at'on and trust TO mpdi-
cine. or shall ne take the chances with
surgical shack ard cnt when cutting
may not De necessary The problem
IS tur-ler complicated nv the fact that
tn ,lcision fnrst he n0de At once. An
-rudicit's IS disease that attacks srd-
" My and TlrS 'ts course quickly. The
N"- Tor eXperime9ting I'm order tn de-
teEMine the course n he pursued is
WOW ally limited 10 twenty four hours
Wise surgeons, who are sufficiently as
-urei - their Owu skin 70 he able n
perform the operation itself without
any great risk. choose as q rule n
take the chances with IN O17--a tor,
rather than with the d-se,en Into
date srrriCal ouer9ti0rs have Haa0
brought to srCh certainty ard rarfpc-
ton that shock e tho ~~'- d10~-r -
me na'iort IS sf-0n~ and ~7bus.-ard
the disease attacks nv IRE ference frs.
such rersOns-he c0n 0rr-7~e' 4rvqvs nc
expected 10 survive Therefore. IL IS
rare for really cor0Dofn~t surgeon r.
hesitate 70 rse The F-''e ae soon rs no
Is wholly Cert0ir ~ his d'ao~rz-z
When the erection hos hem a.
.7ved too long th-orrH f7fr-r-o Of tho
external svr1rfcr-z % r-7rfs-=f f1ar,-
selves or through HESITATION on Tho
mort - ne af'erdi-~ uNvsfrt7. the ms
which is I'm the arTe-d'v rs mo ~--rrrf .
n info nv q ton tu~cte src wills ~ .Lo .
'ac and f'0we into Tho ir-rst'~as cans
rg peritorits. Cr g7U~~p-a. formed f-
no same r7-~-c~. r-.s rN---~1 tho
wall ard Affects ~ eu-r-r-7--- ,f--
sres. 70 used % ra -r0.--r- ma. r,,-r .
.7sos We're uUav-f1 rrfv sr-7r r-r, r4-a-
'rve'0-~0~.s hove r-rvra fr1. .rfs .
90. is f7l'7rv. IN Crrr= v~r--a The f.z- .
no FH Do