Letters
Acute appendicitis: Acute appendicitis or acute appendicectomy?
BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.333.7569.653 (Published 21 September 2006) Cite this as: BMJ 2006;333:653
- John G R Howie, emeritus professor of general practice (john.howie00@btinternet.com)
- University of Edinburgh, Edinburgh EH8 9DX
EDITOR—Over 40 years ago, I studied the clinical pathology of the appendix and the epidemiology of appendicectomy. I would like to comment on four complementary issues.1 Firstly, around 1960 the 4/1000 death rate ranged from 1/2600 for uncomplicated appendicitis in young adults, to 1/9 for patients older than 50 with a perforated appendix. Death rates for male patients were double those for female patients. Deaths from a normal appendicectomy were 1/5000 in young …
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