Appendicostomy
Historical document, translated for reference. It reflects medical knowledge of the 1920s–30s and is not medical advice.
Summary
Appendicostomy is a surgical procedure involving the creation of a fistula of the vermiform appendix for treating chronic ulcerative colitis. The appendix is sutured to a skin wound, allowing for medication administration into the colon, and typically closes spontaneously after treatment.
Encyclopedia article (1928–1936)
Appendicostomy, a fistula of the vermiform appendix, created according to the proposal of Weir and Ketley for the treatment of chronic ulcerative colitis. The vermiform appendix is sutured into a skin wound (see figure), is then opened, and a thin rubber tube is inserted into its lumen for the administration of medicinal substances into the colon (solutions of silver nitrate, tannin, etc.; see Colitis-treatment of them). After treatment is completed (usually several months), the rubber tube is removed, and the fistula in most cases closes on its own; occasionally it is necessary to cauterize the mucous membrane of the vermiform appendix with a thermocauter-, and in rare cases even to surgically close the fistula by removal of the vermiform appendix. The advantage of appendicostomy
The vermiform appendix is drawn through a special
opening and sutured here, after which the abdominal wound is sutured in layers. over the ordinary fistula of the cecum (cecostomy) in that with A. gases and liquid feces are retained. Lit.: Tikhonovich A. V., "Russian Clinic", 1925, No. 18; Weir R. F., Journal of the American med. association, June 10-13, 1902; ibid., Med. record, Aug. 9, 1902; Ketley C. V., Lancet, v. I, p. 1023, 1906.
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Cite this page
“Appendicostomy.” Soviet Medical Encyclopedia. English translation of Bolshaya Meditsinskaya Entsiklopediya, 1st ed. (Moscow, 1928–1936), ed. N. A. Semashko. https://sovietmedicalencyclopedia.pages.dev/article/appendicostomy/