Transactions of the Medical Society of the State of North Carolina [serial] 49 (1902)
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Appendicitis granulosa, in which a very vascular tissue sepa- rates The tubular glands of the appendix, pushing them aside, and in this form a sudden attack may be brought on by hemorrhage into this tissue. The author explains on this basis the occurrence at one time of supperative or gangrenous appendicitis, and the non-supperative variety at another time. Riedel does not believe that the healthy appendix free from foreign bodies ever takes on the conditions spoken of as appendicitis nor does ...he believe the catarrhal condition extending from the caecum ever alters the histologic structure of the organ. The article is extensive and comprehensive and worthy of deep attention. Regarding intestinal obstruction following the use of the drain, one should be sure that the manipulation and handling of the g^t are not more responsible for the obstruction, than the effects the drain produces in that direction. This. I think, can be very often avoided by recognizing the posi- tion and surroundings of the appendix, at once and going for it directly, without breaking up any adhesions more than is absolutely necessary to free it Dr.
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