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Exposure of Appendix by Cullen's Method

William Neill Jr., M.D.
JAMA. 1915;LXIV(12):1017-1018. doi:10.1001/jama.1915.02570380065037.
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[The foregoing letter was referred to Dr. Neill, who replied:]

To the Editor:  —This method is advocated only in cases of subacute or chronic appendicitis. For years, surgeons have been passing a small piece of gauze or tape through the meso-appendix at its cecal attachment. I have had the opportunity of witnessing many appendix operations performed at the Johns Hopkins Hospital and elsewhere, but never saw the tape method carried to its full extent of usefulness until assisting Dr. Cullen. Furthermore, many surgeons when visiting the clinic have expressed their surprise and gratification at the ease with which the retrocecal and adherent appendix can be removed by this method.Dr. Baldwin's reference to the loss of time reminds me of one of America's well-known surgeons watching another equally well-known surgeon removing an appendix. After watching the operation for a few moments, the visiting surgeon said, "John, if ever I am


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