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Appendicitis: fifty consecutive and successful
operations
This extract was taken
from an article by Dr Gordon MacDonald, and was published in the New Zealand
Medical Journal 1905, Vol 4 (15), p167–70
Appendicitis is now so well understood and its treatment so
advanced that it is difficult to say anything new about it. The majority of
cases were operated upon in the Dunedin Hospital, and the balance in private
practice. The ages of the patients varied from childhood to old age, but the
great majority were in youths whose ages varied from fifteen to twenty-five
years. Under fifteen they gradually lessened, and over thirty they rapidly
lessened.
One contained an ordinary-sized pin; one contained a spicule
of bone; three contained actual cherry-stones; eight contained ovoid faecal
concretions varying in size from that of a bean to a large almond; six contained
nothing the eye could recognise, excepting evidences of inflammation; and the
rest contained gritty faecal matter, offensive fluid, or pus. There were no
hairs or bristles, nor orange, apple, passion-fruit, or fig seeds, nor other
commonly swallowed, tough, and not easily digested materials. It is quite
possible that some of the above articles were present in a broken-down state,
but they were not recognised by the naked eye.
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