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THE EARLY OPERATION FOR ACUTE SEVERE CHOLECYSTITIS: THE RIEDEL PAPER; AN INTRODUCTION AND TRANSLATION
Author(s) -
Scheele S.,
Miller D. A.,
Hardy K. J.
Publication year - 1999
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.1999.1719a.x
Subject(s) - medicine , acute cholecystitis , cholecystitis , general surgery , cholecystectomy , acute appendicitis , biliary colic , bile duct , gallbladder , surgery
Background : For acute cholecystitis in the latter 19th century and early 20th century, the diagnosis was difficult and the management not defined. Methods and Results : Bernhard Riedel of Jena in Germany documented his patients, analysed his results, and described his method of cholecystectomy. Conclusions : Riedel advocated early operation for acute cholecystitis when the conditions were favourable, as for acute appendicitis. He stressed the importance of good lighting, an experienced surgeon and trained assistants. He advocated conservative treatment for minor cholecystitis (biliary colic) until the diagnosis was certain, followed by elective cholecystectomy to reduce the risk of subsequent acute cholecystitis or bile duct stones. Caution was advised when analysing previous statistics, to ensure appropriate patient comparison.