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Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma

Authors
Lee J.H.Choi J.S.Jeon S.W.Son C.E.Bae J.W.Hong J.H.Lee K.W.Lee Y.S.
Issue Date
2011
Publisher
Mosby Inc.
Keywords
appendectomy; endometriosis; laparoscopy
Citation
American Journal of Obstetrics and Gynecology, v.204, no.1, pp 28.e1 - 28.e5
Indexed
SCI
SCIE
SCOPUS
Journal Title
American Journal of Obstetrics and Gynecology
Volume
204
Number
1
Start Page
28.e1
End Page
28.e5
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/14120
DOI
10.1016/j.ajog.2010.08.042
ISSN
0002-9378
1097-6868
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. © 2011 Mosby, Inc.
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Guro Hospital (Department of Obstetrics and Gynecology, Guro Hospital)
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