Appendectomy in the surgical treatment of endometriosis.
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⤵ 21 in-corpus citations
AI-generated summary
Appendectomy during endometriosis surgery revealed occult appendiceal endometriosis in 13% of cases, justifying removal during non-infertility procedures but not routine removal for infertility surgery.
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Abstract
To address the question of when to perform an appendectomy in the surgical treatment of endometriosis, a series of 500 consecutive appendectomies was reviewed. In 104 patients with pelvic endometriosis who were undergoing appendectomy, the appendix was a relatively common (13%) extragenital site of endometriosis. Gross inspection of the appendix is not sufficient to exclude endometriosis, as 38% of appendices with histologic evidence of endometriosis had a normal appearance. Patient age and the severity of endometriosis do not appear to be risk factors for appendiceal involvement. No increased postoperative morbidity was demonstrated in 65 patients who had an appendectomy when compared with a similar group of 60 patients who did not have an appendectomy. The study supports 1) removal of the appendix in patients undergoing noninfertility surgery for endometriosis, as a high prevalence of occult endometriosis was observed in this group; and 2) excision of an abnormal appendix in patients with endometriosis during infertility surgery although appendectomy for occult involvement is not supported in this group.
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Cited by (21)
- Appendiceal Endometriosis: A Comprehensive Review of the Literature 2023
- Endometriosis of the Appendix: When to Predict and How to Manage-A Multivariate Analysis of 1935 Endometriosis Cases 2019
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Appendiceal Endometriosis 2013
- The Place Of Appendectomy in Women with Chronic Pelvic Pain and Pelvic Endometriosis 2011
- Endometriosis apendicular: A propósito de un caso Appendicular endometriosis: Apropos of a case 2010
- Clinicopathological analysis of Laparoscopically Removed Appendices of Nineteen Patients with Endometriosis 2010
- Appendiceal endometriosis: two case reports 2008
- Pediatric and Adolescent Gynecologic Laparoscopy 2008
- Is incidental appendectomy necessary in women with ovarian endometrioma? 2008
- Sonography of endometriosis in infrequent sites 2007
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Endometriosis and the appendix: a case series and comprehensive review of the literature 2006
- Laparoscopy in the pediatric and adolescent population 2004
- Miscellaneous conditions of the appendix 2004
- Endometriosis of the appendix presenting as acute appendicitis 2004
- Appendiceal disease in women with endometriosis and right lower quadrant pain 2001
- Asociación de tumor carcinoide y endometriosis en el apéndice junto a endometriosis de íleon terminal 2001
- Mucocele of the appendix secondary to endometriosis. Report of two cases, one with localized pseudomyxoma peritonei 2000
- Endometriosis apendicular: una inusual localización de endometriosis extragenital 1999
- Treatment of bowel endometriosis: a report of six cases of colorectal endometriosis and a survey of the literature 1997
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- last seen: 2026-06-10T17:14:06.276822+00:00
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