An appendicectomy (or appendectomy in the US) is the surgical removal of the vermiform appendix. This procdure is normally not performed unless the life of the patient is in danger: usually when the patient is suffering from acute appendicitis.
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... and none of the area is covered with water.
Demographics
As of the census of 2000, there are 19,701 people, 6,700 households, and 5,011 families residing in the town. ...