The Place Of Appendectomy in Women with Chronic Pelvic Pain and Pelvic Endometriosis

Ayman Al‐Talib, Togas Tulandi
In: Journal of Gynecologic Surgery · 2011 · vol. 27(4) , pp. 253–256 · doi:10.1089/gyn.2010.0068 · W2015602944
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This systematic review found appendiceal endometriosis in 9.5-44.3% of women with endometriosis, and laparoscopic appendectomy of abnormal appendices provided pain relief in ~90% of cases.

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Abstract

Objectives: The purpose of this review was to evaluate the role of appendectomy in patients with pelvic pain and endometriosis. Design: This was a systematic review. Methods: A literature search in MEDLINE,® EMBASE, and the Cochrane Database of Systematic Reviews was performed, using the key words appendiceal endometriosis, pelvic pain, endometriosis, and appendectomy. Results: The prevalence of appendiceal endometriosis in women with endometriosis ranges between 9.5% and 44.3%. Removal of the appendix is associated with complete pain relief in these patients. Conclusions: Removal of a grossly abnormal appendix is associated with pain relief in approximately 90% of cases. Accordingly, women with chronic pelvic pain should be counseled appropriately before surgery, and the surgeon should perform a thorough examination of the appendix during laparoscopy. If the appendix looks abnormal, laparoscopic appendectomy is warranted. (J GYNECOL SURG 27:253)

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Condition tags

endometriosischronic_pelvic_pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (45)

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