Abstract
The literature on the surgical treatment of appendicitis is replete, and it is the consensus of opinion that, for ordinary cases of perforative appendicitis with abscess formation the incision over McBurney's point, or the extra-peritoneal operation from the side, reaching the abscess without entering the peritoneal cavity, with simple evacuation and drainage, only removing the appendix when possible to do so without causing general infection, are the best methods of procedure. In looking over the reports of cases it has not come to my knowledge that an operation reaching the appendix abscess, when located back of the bladder, below the small intestine, and in front of the rectum, has been operated on from the perineum. The difficulties of draining these cases through the abdominal incision and the avoidance of soiling the peritoneum are barriers which render the operation useless and fatal when attempted above, except when the operation is made
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