IN SPITE of gradual, steady improvement in operative mortality reported by numerous authors, the treatment of acute appendicitis remains one of the most serious and frequent problems confronting the surgeon. The 6,697 persons listed in the latest available United States census reports as dying of appendicitis in this country in 1945 indicate that there is still need for efforts to improve our methods of dealing with this disease and to widen their effective use. As one such effort, the experience of our clinic with acute appendicitis for the ten year period 1938 through 1947 has been reviewed in an effort to seek lessons that may continue to be applied toward holding the mortality rate among patients treated for this disease at or close to the zero point.
Numbers and Types of Cases.
—During the ten years from January 1938 through December 1947, 1,411 patients underwent operation at Henry