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Of 143 cases in which an inactive appendix was removed, 102 were available for a follow-up study. Of these, 90 were well and 12 suffered from the same or other symptoms. Of 73 patients who had been operated upon four or more years previously, 41 were followed: 32 (78.1 per cent) were well and 9 (21.9 per cent) were not.
Occasionally the appendix, when removed during what appears to be an acute attack of appendicitis, will show no evidence of acute inflammation. In the light of the results of this follow-up study the surgeon need not feel apologetic over the removal of an appendix inactive from the point of view of the pathologist. It seems quite probable that many patients recover from appendicular colic and fail to exhibit microscopic evidence of inflammation of the appendix.
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- Exploration of the Abdomen and Appendectomy for Atypical Symptoms. Results Five Years After Operation in One Hundred Cases.West. J. Surg. 1934; 42: 189
- Significance of the Obstructive Factor in the Genesis of Acute Appendicitis.Arch. Surg. 1937; 34: 496
- Studies in the Etiology of Acute Appendicitis. The Significance of the Structure and Function of the Vermiform Appendix in the Genesis of Appendicitis. A Preliminary Report.Ann. Surg. 1937; 106: 910
Wangensteen, O. H., Buirge, R. E., and Dennis, C.: Unpublished data.
Received: April 26, 1938
© 1938 Published by Elsevier Inc.