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Original communication| Volume 5, ISSUE 6, P813-836, June 1939

The conservative treatment of appendiceal peritonitis

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      Abstract

      • 1.
        1. A series of 303 cases of appendicitis are herein presented.
      • 2.
        2. In 195 cases of acute appendicitis the principles of the Ochsner treatment were employed.
      • 3.
        3. A plea is made for a review of the conservative treatment of appendiceal peritonitis.
      • 4.
        4. In our series of 303 cases there were 4 deaths, a mortality of 1.3 per cent.
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      References

        • Ochsner A.
        • Gage I.M.
        • Garside E.
        The Intra-Abdominal Postoperative Complications of Appendicitis.
        Ann. Surg. 1930; 91: 544
        • Finney J.M.T.
        Appendicitis.
        Surg., Gynec. & Obst. 1933; 61: 360
        • Stanton E.M.
        Acute Appendicitis.
        Surg., Gynec. & Obst. 1934; 59: 738
        • Bunch G.H.
        • Doughty R.
        The Treatment of Acute Appendicitis.
        Ann. Surg. 1937; 106: 42
        • Gardner C.E.
        Delayed Operation in the Treatment of the Perforated Appendix.
        Surgery. 1938; 4: 161
        • Taylor A.C.
        • Schmidt E.R.
        Acute Appendicitis, Internat.
        S. Digest. 1934; 17: 195
        • Easton E.R.
        • Watson W.J.
        Analysis of 100 Complicated Cases of Acute Appendicitis.
        Surg., Gynec. & Obst. 1934; 58: 762
      1. Guerry Le Grand: Discussion of ref. 23.

        • Reid M.R.
        • Poer D.H.
        • Merrell P.
        A Statistical Study of 2,921 Cases of Appendicitis.
        J. A. M. A. 1936; 106: 665
        • Pattison A.C.
        Factors in the Mortality of Acute Appendicitis.
        Ann. Surg. 1936; 103: 362
        • Schullinger R.N.
        Acute Appendicitis and Associated Lesions.
        Arch. Surg. 1936; 32: 65
        • Potter P.C.
        Acute Diffuse Peritonitis Following Acute Appendicitis With a Report of 25 Cases.
        S. Clin. North America. 1934; 14: 379
        • Hobler L.L.
        Appendicitis (4,833 Cases).
        Ann. Surg. 1936; 103: 86
        • King H.J.
        Acute Appendicitis. A Comparative Survey With Remarks on Its Management.
        Am. J. Surg. 1937; 37: 40
        • McLanahan S.
        Acute Appendicitis in Children.
        Am. J. Surg. 1934; 25: 14
        • Sprague E.W.
        • Schaaf R.A.
        • McArthur C.
        • Hawkes S.Z.
        • Hautman H.
        • Haley P.W.
        A Study of Appendicitis. An Analysis of 1,463 Consecutive Cases.
        Surg., Gynec. & Obst. 1938; 66: 166
        • Nuttall H.C.W.
        Immediate Operation in Acute Appendicitis.
        Brit. M. J. 1935; 2: 1045
        • Nuttall H.C.W.
        The Fallacy of Expectant Treatment in Acute Appendicitis.
        Brit. J. Surg. 1933–1934; 21: 411
        • Gile J.F.
        • Bowler J.P.
        The Management of Perforated Appendicitis.
        J. A. M. A. 1934; 103: 1750
        • Herrick F.C.
        Acute Appendicitis With Peritonitis. Treatment and Mortality.
        Surg., Gynec. & Obst. 1937; 65: 68
        • Bliss R.W.
        • Heaton L.D.
        Appendicitis in Army Service.
        Ann. Surg. 1938; 107: 242
        • Kehl G.W.
        • Rentschler C.B.
        Acute Appendicitis Complicated by Peritonitis.
        Am. J. Surg. 1935; 29: 373
        • Coller F.A.
        • Potter E.B.
        The Treatment of Peritonitis Associated With Appendicitis.
        J. A. M. A. 1934; 103: 1753
        • Holder H.G.
        • Wells J.T.
        Survey of Appendicitis in San Diego.
        Surg., Gynec. & Obst. 1937; 64: 239
        • Pool R.M.
        Acute Appendicitis. Report of 757 Operated Cases.
        Am. J. Surg. 1936; 32: 469
        • Sperling L.
        • Myrick J.C.
        A Review of 518 Cases in the University of Minnesota Hospitals From 1932 to 1935.
        Surgery. 1937; 1: 255
        • Arnheim E.E.
        • Neuhof H.
        Lowered Mortality in Acute Appendicitis and the Basis Therefor.
        Surg., Gynec. & Obst. 1934; 59: 189
        • Kirtley J.A.
        • Daniel R.A.
        Acute Appendicitis: A Study of 1,000 Consecutive Patients.
        Surgery. 1937; 2: 215
        • Garlock J.H.
        Acute Appendicitis.
        Am. J. Surg. 1934; 23: 248
        • Ochsner A.J.
        • Percy N.M.
        General Surgery of the Abdomen. A New Clinical Surgery.
        in: Cleveland Press, Chicago1911: 233 (part V)
        • Ochsner A.J.
        • Percy N.M.
        General Surgery of the Abdomen. A New Clinical Surgery.
        in: Cleveland Press, Chicago1911: 328 (part V)
        • Ochsner A.J.
        The Mortality in Appendicitis, Its Cause and Limitation.
        M. News. 1903; 82: 833
        • Ochsner A.J.
        The Treatment of Acute Appendicitis.
        Therapeutic Gaz. 1921; 27: 77
        • Ochsner A.J.
        A Handbook of Appendicitis. G. P. Englehard & Co, Chicago1902
        • Guerry Le Grand
        A Study of the Mortality in Appendicitis.
        Ann. Surg. 1926; 84: 283
        • Schmidt E.R.
        • Taylor A.C.
        Acute Appendicitis in Dogs.
        Arch. Surg. 1935; 31: 64
        • McNealy R.W.
        • Willems J.O.
        The Absorption of Glucose From the Colon.
        Surg., Gynec. & Obst. 1929; 99: 794
        • Ebeling W.W.
        Absorption of Dextrose From the Colon.
        Arch. Surg. 1933; 26: 134
        • Jones R.
        • Menefee E.E.
        Acute Appendicitis; Cases Treated in Children's Ward of Duke Hospital During Period 1930–1935 Inclusive.
        Am. J. Surg. 1937; 37: 446
        • Maes U.
        • Boyce F.F.
        • McFetridge E.M.
        Acute Appendicitis in Childhood.
        Surg., Gynec. & Obst. 1934; 58: 32
        • Stone C.S.
        Acute Appendicitis in Children.
        Arch. Surg. 1935; 30: 346
        • Helmholz H.F.
        The Diagnosis of Acute Appendicitis in Children.
        Journal Lancet. 1935; 55: 681
        • Miller E.M.
        • Turner E.C.
        Surgical Management of Acute Appendicitis and Its Complications in Children.
        Illinois M. J. 1937; 72: 222
        • Maes U.
        • McFetridge E.M.
        Causes for High Mortality in Acute Appendicitis.
        New York State J. M. Sept. 15, 1938; : 1205
        • Jopson J.H.
        • Pfeiffer D.B.
        The Limitations of the Ochsner Treatment in Certain Cases of Suppurative Peritonitis.
        Ann. Burg. 1923; 77: 194
        • Royster H.A.
        Appendicitis.
        in: D. Appleton-Century Company, Inc, New York1927
        • Ochsner A.
        The Conservative Treatment of Appendiceal Peritonitis.
        New Orleans M. & S. J. 1934; 87: 32
        • Deaver J.B.
        Appendiceal Peritonitis.
        Surg., Gynec. & Obst. 1928; 47: 401
        • Deaver J.B.
        Appendicitis.
        J. A. M. A. 1928; 90: 1679
        • Deaver J.B.
        An Opinion on the Present High Operative Mortality in Acute Appendicitis.
        Surg., Gynec. & Obst. 1930; 51: 528
        • Deaver J.B.
        • Magoun J.A.H.
        Review of 5,488 Appendectomies Performed at the Lankenau Hospital of Philadelphia.
        Ann. Burg. 1924; 79: 854
        • Keyes E.L.
        Death From Appendicitis.
        Ann. Burg. 1934; 99: 47
        • Potter E.B.
        • Coller F.A.
        Treatment of Peritonitis Associated With Appendicitis.
        J. Michigan M. Soc. 1933; 32: 573
        • Davis C.R.
        Critical Analysis of 35 Deaths Following Appendicitis.
        Am. J. Burg. 1935; 29: 368
        • Love R.J.M.
        The Treatment of Acute Appendicitis.
        Lancet. 1933; 1: 1229
      2. Ochsner, Alton: Discussion of ref. 23.

        • McGrath J.J.
        • Eiss S.
        Acute Suppurative Appendicitis.
        Am. J. Surg. 1935; 27: 112
        • Strauss A.
        • Tomarkin J.
        Acute Appendicitis.
        Survery. 1938; 3: 111
        • Collins D.C.
        Treatment of Appendicitis.
        Am. J. Burg. 1937; 37: 440
        • Webb R.C.
        Drainage in Appendicitis.
        Journal Lancet. 1933; 53: 23
        • Davis C.R.
        Drainage After Operation for Appendicitis.
        Ann. Burg. 1934; 99: 637
        • Willis D.A.
        • Mora J.M.
        Relation of Drainage to Morbidity.
        Am. J. Burg. 1935; 27: 480
        • Richardson M.
        Remarks Upon Appendicitis Based Upon a Personal Experience of 181 Cases.
        Am. J. M. Sc. 1894; 107: 1
        • Coller F.A.
        The Administration of Fluid to the Sick Patient.
        Maine M. J. 1937; 28: 187
        • Coller F.A.
        Studies in Water Balance, Dehydration and the Administration of Parenteral Fluids.
        Minnesota Med. 1936; 19: 490
        • Coller F.A.
        Water Metabolism.
        J. Indiana State M. A. 1937; 30: 177
        • Coller F.A.
        Water Balance of Sick Patients.
        Wisconsin M. J. 1936; 35: 618
        • Ochsner A.
        • Gage I.M.
        • Cutting R.A.
        Effect of Morphine on Obstructed Intestine.
        Arch. Burg. 1934; 28: 406
      3. Hendon G. A.: Discussion of ref. 23.

        • Jones Eli Sherman
        Appendicostomy in Cases of Ruptured Appendix Associated With Diffuse General Peritonitis.
        Ann. Burg. 1934; 99: 640
        • Jackson R.H.
        Appendico-Cecostomy in Cases of Fulminating Appendicitis With Peritonitis.
        Am. J. Burg. 1917; 31: 121
        • Ochsner A.
        • Lilly G.
        Technique of Appendectomy With Particular Reference to Treatment of Appendiceal Stump.
        Surgery. 1937; 2: 532
        • Paine J.R.
        • Wangensteen 0.H.
        The Necessity for Constant Suction to Inlying Nasal Tubes for Effectual Decompression or Drainage of Upper Gastro-Intestinal Tract.
        Surg., Gynec. & Obst. 1933; 57: 601
        • Wangensteen O.H.
        • Paine J.R.
        Treatment of Acute Intestinal Obstruction by Suction With the Duodenal Tube.
        J. A. M. A. 1933; 101: 1532
        • Wangensteen 0.H.
        • Paine J.R.
        Nasal Catheter Suction Siphonage: Its Use and the Technic of Its Employment.
        Minnesota Med. 1933; 16: 96
        • Westermann C.W.J.
        Ueber die Anwendung des Dauermagenhebers bei der nachbehandlung schwerer Peritonitis faelle.
        Zentralbl. f. Chir. 1910; 37: 35
        • Kappis M.
        Einige praktische Winke zur Behandlung des peritonitisclien Dens.
        Muenchen. med. Wehnschr. 1911; 58: 15