The surgical treatment of typhlitis / by Frederick Treves.

  • Sir Frederick Treves, 1st Baronet
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: The surgical treatment of typhlitis / by Frederick Treves. Source: Wellcome Collection.

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    ciiminately carried out since I introduced this measure of treatment in 1887. From the observations of some surgeons it would appear that they regard the removal of the vermiform process as the correct treatment for nearly every case of typhlitis. Such a posi- tion is entirely unjustifiable, and against such unwarrantable operations a strong protest must be raised. There are a series of cases of relapsing ty- phlitis which do not depend upon appendicular trouble, and which would not be relieved by the resection of the process. The surgeon must endeavour to convince him- self that the appendix is at fault, and that its condition is such as to render another attack probable. It has already been pointed out that a ten- dency to spontaneous cure is active in these cases, and while this should not cause the sur- geon to hold his hand against the weight of evi- dence, it must always have effect in influencing his decision. It may be said that the current attack of ap- pendicitis is the last attack, and that any opera- tion—if carried out at a subsequent period of quiet—is uncalled for. The attack may be the
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