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perforation. In 8 there was none. The latter class of cases were just beginning to be recognized. Peritonitis was general so far as he could see. After describing the technic of the operation, Dr. Eisendrath drew the following conclusions: (1) We could greatly reduce the mortality of peritonitis if we were able to get the cases early before the septic intoxication was too far advanced. (2) Our first consideration must be to seal up the source of infection, and thus check the further inflow ofdoi:10.1056/nejm191202221660811 fatcat:c2fy3zcninbqrjwpglhuq67ota