A New Manual of Surgery, Civil And Military

Cover A New Manual of Surgery, Civil And Military
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Many authors advise an immediate operation in all cases of acute appen- dicitis without regard to the condition of the patient or the stage of the attack, unless the patient is moribund on the one hand or improving rapidly under the treatment which is being employed at the time the surgeon is called.
Although this patient is very ill, she is not moribund, consequently this case Avould come under the class in which an immediate operation is advised by these authorities. In our experience, and in
... that of all surgeons whose work we have had an opportunity to observe, patients with the conditions of the case described have almost invariably died within twenty-four or forty-eight hours after the operation. They therefore belong to a class in which operative treatment has an especially high mortality. In fact, by far the greater portion of all fatal cases following appendicitis operations belong to this class. These cases have been said to be too late for an early, and too early for a late operation.

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