It has been wisely said that all diseases should be reviewed every five years, for in making such a review one is able to evaluate the symptoms that are currently stressed and attach to them their proper importance. At the same time, complications once frequent are found to be becoming less so, and others thought to be infrequent or never heard of are brought to the front. Then, too, one finds that the management of disease processes and their complications, once looked on as very complex, are becoming more and more simplified.
No doubt this thought prompted the recent extensive review of our old constant companion, appendicitis. Quite a mass of writings has come forth in the past few years dealing not so much with the symptomatology as with the management and mortality. The latter has not assumed the downward curve that every one thought it should with the better