Abstract
OBJECTIVE: We sought to investigate the safety and efficacy of laparoscopic incidental appendectomy during laparoscopic surgery for endometrioma. STUDY DESIGN: We conducted a retrospective study of 356 patients undergoing laparoscopic surgery for endometrioma with appendectomy (appendectomy group, n = 172) or not (nonappendectomy group, n = 184). Primary outcome measures were operating time, hemoglobin change, hospital stay, return of bowel activity, and any complications. The secondary outcome was appendiceal histopathology. RESULTS: There were no statistical differences between groups in operating time, postoperative changes in hemoglobin concentration, hospital stay, return of bowel activity, or complication rate. Of the 172 resected appendices, 52 had histopathologically confirmed abnormal findings including appendiceal endometriosis in 16. CONCLUSION: Incidental appendectomy at the time of laparoscopic surgery for endometrioma does not increase operative morbidity, and it has considerable diagnostic and preventive value. However, a large prospective randomized study is needed in the future to confirm this conclusion.
| Original language | English |
|---|---|
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 204 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2011 Jan 1 |
| Externally published | Yes |
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Keywords
- appendectomy
- endometriosis
- laparoscopy
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma. / Lee, Jung Hun; Choi, Joong Sub; Jeon, Seung Wook; Son, Chang Eop; Bae, Jong Woon; Hong, Jin-Hwa; Lee, Kyo Won; Lee, Yong Seung.
In: American Journal of Obstetrics and Gynecology, Vol. 204, No. 1, 01.01.2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma
AU - Lee, Jung Hun
AU - Choi, Joong Sub
AU - Jeon, Seung Wook
AU - Son, Chang Eop
AU - Bae, Jong Woon
AU - Hong, Jin-Hwa
AU - Lee, Kyo Won
AU - Lee, Yong Seung
PY - 2011/1/1
Y1 - 2011/1/1
N2 - OBJECTIVE: We sought to investigate the safety and efficacy of laparoscopic incidental appendectomy during laparoscopic surgery for endometrioma. STUDY DESIGN: We conducted a retrospective study of 356 patients undergoing laparoscopic surgery for endometrioma with appendectomy (appendectomy group, n = 172) or not (nonappendectomy group, n = 184). Primary outcome measures were operating time, hemoglobin change, hospital stay, return of bowel activity, and any complications. The secondary outcome was appendiceal histopathology. RESULTS: There were no statistical differences between groups in operating time, postoperative changes in hemoglobin concentration, hospital stay, return of bowel activity, or complication rate. Of the 172 resected appendices, 52 had histopathologically confirmed abnormal findings including appendiceal endometriosis in 16. CONCLUSION: Incidental appendectomy at the time of laparoscopic surgery for endometrioma does not increase operative morbidity, and it has considerable diagnostic and preventive value. However, a large prospective randomized study is needed in the future to confirm this conclusion.
AB - OBJECTIVE: We sought to investigate the safety and efficacy of laparoscopic incidental appendectomy during laparoscopic surgery for endometrioma. STUDY DESIGN: We conducted a retrospective study of 356 patients undergoing laparoscopic surgery for endometrioma with appendectomy (appendectomy group, n = 172) or not (nonappendectomy group, n = 184). Primary outcome measures were operating time, hemoglobin change, hospital stay, return of bowel activity, and any complications. The secondary outcome was appendiceal histopathology. RESULTS: There were no statistical differences between groups in operating time, postoperative changes in hemoglobin concentration, hospital stay, return of bowel activity, or complication rate. Of the 172 resected appendices, 52 had histopathologically confirmed abnormal findings including appendiceal endometriosis in 16. CONCLUSION: Incidental appendectomy at the time of laparoscopic surgery for endometrioma does not increase operative morbidity, and it has considerable diagnostic and preventive value. However, a large prospective randomized study is needed in the future to confirm this conclusion.
KW - appendectomy
KW - endometriosis
KW - laparoscopy
UR - http://www.scopus.com/inward/record.url?scp=78650690467&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78650690467&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2010.08.042
DO - 10.1016/j.ajog.2010.08.042
M3 - Article
VL - 204
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 1
ER -