[Laparoscopic diagnosis and therapy of appendicitis from the gynecologic viewpoint]

The high value of laparoscopy for the diagnostic evaluation of appendicitis was established by studying 1001 women with suspected acute adnexitis and a group of 1679 woman patients presenting with chronic pain of unknown origin in the lower abdomen, sterility or the wish for sterilization, among whom a large percentage revealed abnormal appendixes or post-operative adhesion following appendectomy. Both groups underwent laparoscopy. The results allowed for setting up recommendations for the diagnostic evaluation and therapy of both acute and chronic appendicitis from the perspective of gynecological issues such as sterility, chronic or acute pain in the lower abdomen, and endometriosis.