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APPENDICITIS WITH ORIGINAL REPORT, HISTORIES AND ANALYSIS OF ONE HUNDRED AND FORTY-ONE LAPAROTOMIES FOR THAT DISEASE UNDER PERSONAL OBSERVATION.Read before the Pan-American Medical Congress.

J. B. MURPHY, M.D.
JAMA. 1894;XXII(9):302-308. doi:10.1001/jama.1894.02420880018001e.
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ABSTRACT

It might seem necessary to offer an apology for presenting a subject that has been so thoroughly discussed at medical associations and so voluminously considered in medical literature in the past four years. But I will offer none for presenting this subject, as many of its important relations to the physician and patient are still moot questions. There is probably no subject in abdominal surgery on which the profession is so divided and on which such opposite views are entertained. Gynecologists are fairly well agreed on what the procedure should be in cases of pyosalpinx, ovarian cysts, and even now on fibroid tumors, but at every medical meeting in which the subject of appendicitis is discussed we find the physicians almost equally divided for and against operative procedure. The question presents itself, Why are they thus divided? The answer is, They are divided because they have different views, or better,

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