Die endoskopische Appendektomie in Gynäkologie und Geburtshilfe

F Dressler, Frank Dressler, Dressler F, Zöckler R, R. Zöckler, Raatz D, D. Raatz, P Börner, Börner P
Geburtshilfe und Frauenheilkunde · 1992 · vol. 52(01) , pp. 51–55 · doi:10.1055/s-2007-1022950 · PMID:1532157 · W64946799
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A retrospective analysis of 99 appendectomy patients found four cases of endometriosis, leading the authors to recommend against prophylactic appendectomy during gynecological laparoscopies despite the procedure's safety.

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This study evaluated the outcomes of endoscopic appendectomy in 99 female patients treated between 1987 and 1990, with a specific focus on those undergoing gynecological or obstetric procedures. The cohort included individuals with concurrent conditions such as pelvic inflammatory disease, pregnancy, and four cases diagnosed with endometriosis. While no intraoperative complications occurred, four patients developed severe postoperative inflammatory issues, leading the authors to advise against prophylactic appendectomy during routine gynecological laposcopies. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

From 1987 to 1990, 99 patients were treated for appendicitis. 67 patients were treated by endoscopic appendectomy, 32 patients underwent laparotomy for appendectomy. Among these 67 patients we found 4 patients with endometriosis, 6 with pelvic inflammatory disease, and 4 pregnant patients. In no case did we have difficulties during the laparoscopic operation; only 4 patients developed severe inflammatory complications during the postoperative period. For this reason, we do not perform a prophylactic appendectomy during gynaecological laparoscopies. We recommend careful postoperative treatment after laparoscopic appendectomy.
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Subscribe to RSS DOI: 10.1055/s-2007-1022950 Die endoskopische Appendektomie in Gynäkologie und Geburtshilfe Endoscopic Appendectomy in Gynaecology and ObstetricsPublication History Publication Date: 18 March 2008 (online) Zusammenfassung Die Endoskopie bietet die Möglichkeit, eine umfassende Differentialdiagnostik mit der zurückhaltenden invasiven Therapie der Appendicitis zu verbinden. Deshalb ist sie bei akuten oder chronisch rezidivierenden Unterbauchbeschwerden die Methode der Wahl. In den Jahren 1987 bis 1990 wurden 99 Patientinnen appendektomiert. 67 von ihnen mittels endoskopischer Abdominalchirurgie. In diesem Kollektiv waren Patientinnen mit Endometriose (4), Schwangere (4) und Patientinnen mit entzündlichen Adnexprozessen (6). Intraoperative Komplikationen traten nicht auf. Bei 4 Patientinnen jedoch entwickelten sich ernste, entzündliche Komplikationen postoperativ. Die Erwartungen und Einschränkungen für die endoskopische Therapie bei Appendizitis werden anhand der Ergebnisse diskutiert. Abstract From 1987 to 1990, 99 patients were treated for appendicitis. 67 patients were treated by endoscopic appendectomy, 32 patients underwent laparotomy for appendectomy. Among these 67 patients we found 4 patients with endometriosis, 6 with pelvic inflammatory disease, and 4 pregnant patients. In no case did we have difficulties during the laparoscopic operation; only 4 patients developed severe inflammatory complications during the postoperative period. For this reason, we do not perform a prophylactic appendectomy during gynaecological laparoscopies. We recommend careful postoperative treatment after laparoscopic appendectomy.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Appendectomy Appendicitis Genital Diseases, Female Laparoscopy Pregnancy Complications Adolescent Adult Aged Appendectomy Appendicitis Diagnosis, Differential Female Genital Diseases, Female Humans Laparoscopy Middle Aged Pelvic Inflammatory Disease Pelvic Inflammatory Disease Postoperative Complications Postoperative Complications

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