Abstract
As part of an extensive study of the treatment of patients admitted to hospital because of possible appendicitis, particular attention was given to 533 patients aged between twelve and twenty-nine years. Two basically different approaches to treatment were noted: the radical approach (operation in 4 of 5 cases) resulted in the removal of both more normal and more abnormal appendices than did the conservative approach (operation in 3 of 5 cases). The radical approach caused less morbidity than the conservative approach (16.6% of all patients as against 19.3%) and resulted in a lower incidence of recurrent symptoms (10.1% as against 17.7%). The avoidable mortality from the two approaches was closely similar. Appendicectomy seems to run in families although appendicitis does not. Both radical and conservative surgeons use operative treatment more frequently on patients with medical associations than on their other patients. It is concluded that the radical approach to the treatment of young adult patients admitted to hospital with possible appendicitis is preferable to the conservative approach.
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