Appendectomy in Patients Undergoing Laparoscopic Surgery for Pelvic Pain

Lyons, Thomas L.; Winer, Wendy K.; Woo, Ann

doi:10.1016/s1074-3804(05)60618-4

Cited by 30 publications

(20 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The significance of fibro-obliterative change of the appendix remains uncertain although it has been reported to occur with acute appendicitis in a few case series. 1,5 In our study, fibro-obliterative change on histology was found in a relatively older age group, with a mean age of 39.1 years in females and 33.6 years in males, respectively. However, little data exist to define this entity.…”

Section: Discussionsupporting

confidence: 47%

“…While 6 patients had luminal inflammation, 5 had serositis, making another abdominal pathology a good possibility. Serositis or peri-appendicitis has been noted to occur in numerous other studies 1,5 and is thought to represent extraappendicular sepsis. 6 Although one should be wary of Crohn's disease in cases with just luminal inflammation, Crohn's is seen to have differential characteristics on histology.…”

Section: Discussionmentioning

confidence: 99%

“…After struggling to identify any other possibility by trying to catch a glimpse of the tubes and ovaries, and extruding the bowel through that incision, the diagnostic dilemma has remained, whether to remove that appendix or not. Although studies exist both supporting 1,2 and opposing 3 the removal of a macroscopically normal appendix, it has largely remained the surgeon's predilection. Now that laparoscopic appendicectomy is in vogue, the question becomes more pertinent than ever before -should a normal looking appendix be removed laparoscopically or not?…”

mentioning

confidence: 99%

See 2 more Smart Citations

Acute Appendicitis: Are we Over Diagnosing it?

Singhal

Jadhav

2007

annals

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Acute Appendicitis: Are we Over Diagnosing it?

Singhal

Jadhav

2007

annals

View full text Add to dashboard Cite

show abstract

“…Dans le cas particulier d'une coelioscopie réalisée dans le cadre de douleurs pelviennes, la présence de lésions profondes, responsables d'une induration ou d'une rigidité de l'appendice, justifie l'appendicectomie (accord professionnel). [6] 190 154(81 %) Agarwala et al [7] 317 133 (42 %) dont 14 cas (4,4 %) d'endométriose Harris et al [8] 52 39 (75 %) Berker et al [9] 231 115 (50%)…”

Section: Resultsunclassified

“…Dans la littérature, on retrouve essentiellement des études rétrospectives visant à apprécier le pourcentage de pathologies au niveau de l'appendice chez des patientes bénéficiant d'une laparoscopie pour douleur pelvienne chronique [6][7][8][9] (Tableau 1).…”

Section: Traitementunclassified

L'endométriose extragénitale

Nisolle¹,

Pasleau

Foidart³

2007

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

View full text Add to dashboard Cite

Résumé : Les localisations pariétales, appendiculaires, pleuropulmonaires et diaphragmatiques représentent 5% des cas d'endométriose. Le diagnostic ainsi que la prise en charge de ces localisations extragénitales sont décrits en fonction de la littérature. L'endométriose pariétale nécessite généralement une résection large de la masse. L'endométriose appendiculaire est une localisation fréquente de l'endométriose digestive. Lorsque l'appendice est induré ou rigide par la présence de lésions profondes d'endométriose, l'appendicectomie est justifiée. L'endométriose thoracique et diaphragmatique est caractérisée par la survenue de symptômes caractéristiques en période périmenstruelle. Le traitement médical visant à obtenir une aménorrhée thérapeutique est instauré en première ligne et la chirurgie est réservée aux récidives. Mots clés :Cicatrice ; Appendice ; Endométriose thoracique ; Endométriose diaphragmatique Abstract: Parietal, appendiceal, pleuropulmonary and diaphragmatic endometriosis represent 5% of endometriosis cases. Diagnosis and management of these extra-genital localisations are described according to the literature. Parietal endometriosis usually requires large resection of the tumor. Appendiceal endometriosis is frequently observed in cases of digestive endometriosis. Induration or rigidity of the appendix due to the presence of deep infiltrating endometriosis justifies appendicectomy. Thoracic and diaphragmatic endometriosis is characterized by the presence of typical symptoms during the perimenstrual periode. Medical treatment obtaining therapeutic amenorrhea is firstly administered and surgery is indicated in cases of symptoms recurrence.

show abstract

Appendectomy in the surgical management of women with endometriosis and pelvic pain

Ross

Chu

et al. 2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To evaluate the role of appendectomy in surgical excision of endometriosis and to assess complications associated with appendectomy. Methods Retrospective study of women undergoing appendectomy for pelvic pain and/or endometriosis during a primary gynecologic procedure. Results Record review was performed for 609 women who underwent appendectomy between 2013 and 2019 for pelvic pain (6.9%, 42/609), stage I–II endometriosis (63.7%, 388/609), or stage III–IV endometriosis (29.4%, 179/609). Appendiceal endometriosis (AppE) was present in 14.9% (91/609); 2.4% without endometriosis (1/42, reference group), 7.0% with stage I–II endometriosis (27/388, odds ratio [OR] 3.06, 95% confidence interval [CI] 0.41–23.11, P = 0.278), and 35.2% with stage III–IV endometriosis (63/179, OR 22.24, 95% CI 2.99–165.40, P = 0.002). AppE was significantly associated with endometriosis present in other locations (OR 5.27, 95% CI 2.66–10.43, P < 0.001). The predicted probability of identifying AppE ranged from 6% with 0 positive endometriosis sites to 56% when 4 or more sites were identified. There were no complications related to the performance of an appendectomy. Conclusion Women with chronic pelvic pain and/or endometriosis have an increased risk of AppE. Modern appendectomy at the time of gynecologic surgery is safe, with no associated complications in this study. Our findings support the consideration of appendectomy as part of the comprehensive surgical management of endometriosis.

show abstract

Appendectomy in Patients Undergoing Laparoscopic Surgery for Pelvic Pain

Cited by 30 publications

References 3 publications

Acute Appendicitis: Are we Over Diagnosing it?

Acute Appendicitis: Are we Over Diagnosing it?

L'endométriose extragénitale

Appendectomy in the surgical management of women with endometriosis and pelvic pain

Contact Info

Product

Resources

About