Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma - 19/08/11
, Joong Sub Choi, MD, PhD ⁎ 
, Seung Wook Jeon, MD , Chang Eop Son, MD , Jong Woon Bae, MD , Jin Hwa Hong, MD , Kyo Won Lee, MD, PhD , Yong Seung Lee, MD † Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Reprints: Joong Sub Choi, MD, PhD, Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-dong Jongno-gu, Seoul 110-746 South KoreaRésumé |
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.
Le texte complet de cet article est disponible en PDF.Key words : appendectomy, endometriosis, laparoscopy
Plan
| Cite this article as: Lee JH, Choi JS, Jeon SW. Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma. Am J Obstet Gynecol 2011;204:28.e1-5. |
Vol 204 - N° 1
P. 28.e1-28.e5 - janvier 2011 Retour au numéro
Article précédent
- Urogenital disorders in women with adjuvant endocrine therapy after early breast cancer
- Juliane Baumgart, Kerstin Nilsson, Anneli Stavreus-Evers, Kristiina Kask, Kenneth Villman, Henrik Lindman, Theodora Kallak, Inger Sundström-Poromaa
- An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage
- YanKui Wang, Bing Xu, ShuZhen Dai, YongHua Zhang, YuYing Duan, ChengJian Sun
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?