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The practice of surgery . inthe right iliac fossa fifty years ago. In 1886 R. H. Fitz, of Boston, ex-plained the nature of the process, while J. Homans, C. McBurney,C. B. Porter, M. H. Richardson, J. B. Deaver, and many recent operatorshave developed and perfected a technic for dealing with the disease inboth its acute and quiescent stages. The anatomy of the vermiform appendix is important. The littleorgan lies in the right iliac and hypogastric regions, in its typical posi-tion hanging down over the brim of the pelvis; but it may swing in anydirection, from its base as an axis. Occasionally
The practice of surgery . inthe right iliac fossa fifty years ago. In 1886 R. H. Fitz, of Boston, ex-plained the nature of the process, while J. Homans, C. McBurney,C. B. Porter, M. H. Richardson, J. B. Deaver, and many recent operatorshave developed and perfected a technic for dealing with the disease inboth its acute and quiescent stages. The anatomy of the vermiform appendix is important. The littleorgan lies in the right iliac and hypogastric regions, in its typical posi-tion hanging down over the brim of the pelvis; but it may swing in anydirection, from its base as an axis. Occasionally it lies entirely behind ^ R. H. Fitz, Perforating Inflammation of the Vermiform Appendix, Amer. Physicians, June, 1886. 2 17 18 THE ABDOMEN the cecum. Its most common length is between 2 and inches;rarely, one sees removed a great appendix, 5, 9, and even 10 inches lumen is from to inch in diameter. At its entrance intothe cecum is a fold of mucous membrane known as the valve of Fig. 3.—Normal vermiform appendix. In a few reported cases no appendix has been found. Let me remind that in the development of the fetus the cecum and appendixdescend from high up under the liver, in which position the appendix is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910