Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma

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This study investigated the outcomes of performing incidental appendectomies during laparoscopic surgery for ovarian endometrioma in terms of complications and patient recovery.

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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.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Appendectomy Appendix Cecal Diseases Endometriosis Laparoscopy Laparoscopy Ovarian Diseases Adolescent Adolescent Adult Adult Appendectomy Appendectomy Appendectomy Appendix Appendix Appendix Cecal Diseases Cecal Diseases Cecal Diseases

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (20)

Cited by (11)

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europepmc
last seen: 2026-10-12T06:17:10.165071+00:00
openalex
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License: CC0 · commercial use OK