APPENDICITIS

Publisher Website
Google Scholar
Abstract
Clinically, both for simplicity and for safety, appendicitis should be spoken of only as acute and chronic. While it is true that as a rule nonperforative and perforative appendicitis can be differentiated, this is not always possible; therefore the best interests of the patient are not served if delay is counseled because the case appears to be a nonperforative one. This point has often been the deciding factor in choosing between an immediate and an interval operation, a decision often attended with much risk, not only in the perforating case but also in the other acute varieties, such as the phlegmonous and gangrenous. I believe that it is not always possible to make the clinical diagnosis harmonize absolutely with the pathologic manifestations. In my teaching I am insistent on this. I believe that the attempt at hair-splitting diagnoses may be responsible for complications, sequelae, morbidity and mortality in the disease.

This publication has 0 references indexed in Scilit: