Prophylactic appendectomy in gynecological surgery

Taniguchi, Tokuso; Kilkenny, George S.

doi:10.1016/0002-9378(50)90021-4

Cited by 19 publications

(6 citation statements)

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“…An early account in the western part of the country did mention cases of "obstruction from bands [15]." In those days, figures abounded when Taniguchi and Kukenny linked with gynecology to review 522 cases and "fibrosis with obliteration of the lumen occurred in normal appearances where fibrosis with obliteration of the lumen occurred in 73 cases [16]. "…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Perspectives of Incidental Appendectomy During Ovariectomy for Teratoma in a Developing Community, Nigeria

2016

JPR

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My interest in the field of Sociology flowered with a recent publication which pertained to using the reprint requests (RR) to trace how the brain drain phenomenon occurs throughout the whole world. Before it, with reference to a large Nigerian communal group called the Ibos or Igbos, there was a publication on ovarian disease called teratoma as well as on another on the desirability of going outside a major operation by including the removal of an uninvolved appendix! Accordingly, the purpose of this paper was to present the epidemiologic perspectives of patients and their doctors in a retrospective series emanating between the 1970s and 1990s, using data collected personally in a Regional Reference Laboratory situated in Enugu, erstwhile capital of the Eastern Region of Nigeria. This was done in agreement with a UK Group that attested to the importance of establishing histopathology data pool useful in epidemiologic analysis. The results are deemed to be worthy of documentation.

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Section: Discussionmentioning

confidence: 99%

Epidemiologic Perspectives of Incidental Appendectomy During Ovariectomy for Teratoma in a Developing Community, Nigeria

2016

JPR

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“…Furthermore, in a review of 532 women who underwent incidental appendectomy during gynecological surgery, Taniguchi and Kilkenny [5] found that acute inflammation was diagnosed by a pathologist in 10.5% of cases: 9.6% catarrhal appendicitis and 0.9% subacute and early acute appendicitis. In fact, a histologically abnormal appendix may appear grossly normal in approximately 25% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Such findings included acute inflammation, periappendicitis, adhesions or endometriosis involving the appendix, lymphoid hyperplasia, luminal hemorrhage, intramural neoplasm with associated acute inflammation, mucosal congestion, and fibrous obliteration of the lumen. Lymphoid hyperplasia, mucosal congestion, and fibrous obliteration of the lumen cannot be disregarded as nonsignificant findings as they may result in obstruction of the lumen of the appendix, which is an important predisposing factor in the development of acute appendicitis [5]. …”

Section: Discussionmentioning

confidence: 99%

“…Although there is considerable research on appendectomy performed in the setting of chronic pelvic pain [2,3] as well as prophylactic or incidental appendectomy at the time of gynecological surgery [4,5,6,7], we have failed to find literature addressing the intraoperative findings that incite appendectomy during benign gynecological procedures and the resultant appendiceal pathology. Therefore, we were interested in determining which intraoperative findings resulted in appendectomy during gynecological surgery and if macroscopic findings at the time of surgery corresponded with appendiceal histopathology.…”

Section: Introductionmentioning

confidence: 99%

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Appendectomy in the Gynecological Setting: Intraoperative Findings and Corresponding Histopathology

Shavell¹,

Mahdi²,

Awonuga³

et al. 2010

Gynecol Obstet Invest

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Background/Aims: To evaluate the intraoperative findings and corresponding histopathology associated with appendectomies performed during benign gynecological surgery. Methods: Retrospective case series. Results: Twenty-two appendectomies were performed from 2002 through 2008 at Hutzel Women’s Hospital due to intraoperative findings of inflammation or erythema (n = 8), periappendiceal adhesions (n = 5), injury to the appendix or mesoappendix (n = 2), fecalith (n = 2), dilation of the appendix (n = 1), adnexal mass involving the appendix (n = 1), and suspected lipoma (n = 1). Final pathology was consistent with significant findings such as acute inflammation, periappendicitis, and adhesions or endometriosis involving the appendix in 68.2% of cases. Conclusion: In the benign gynecological setting, appendectomies were primarily performed due to inflammation or erythema. In the majority of cases, significant appendiceal pathology was confirmed.

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“…einer Appendizitissymptomatik in der Vergangenheit. Bereits aus den 50er-Jahren existieren Publikationen, die die prophylaktische Appendektomie im Rahmen anderer abdomineller Eingriffe beschreiben [8,9]. In den letzten Jahrzehnten wurde aus unterschiedlichen operativen Fachgebieten publiziert, dass es bei ohnehin erfolgter Laparotomie zu keiner Risikoerhöhung für Simultaneingriffe bei Kolonund Rektumoperationen [10,11], bei intraabdominalen urologischen Eingriffen [12,13], bei gynäkologischen Eingriffen [14] sowie bei anderen Eingriffen in der Bauchhöhle [15,16] kommt, sofern keiner der Eingriffe septisch ist.…”

Section: Histopathologische Befunde Und Komplikationenunclassified

Begleitappendektomie: ja oder nein?

et al. 2017

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At more than 50%, appendicitis is the leading cause of acute intra-abdominal disease requiring surgery. In the course of various other operations, prophylactic appendectomy (PA) is frequently performed. This study examines to what extent PA is justified. A prospective study was performed in all patients (n = 173) undergoing prophylactic appendectomy in Katharinen Hospital Unna between January 2010 and October 2013. The following variables were analysed: age, gender, type of primary surgery, emergency or elective surgery, complications, lethality, intraoperative and histopathological evaluation of the appendix. In addition, patients were contacted postoperatively with the request to complete a questionnaire. Prophylactic appendectomy was carried out without any specific complications. 117 patients (68%) participated in the survey. 15% of these patients had suffered symptoms that could be attributable to irritation of the appendix. With only one exception, all appendectomy specimens revealed pathological findings in the histopathological examination. PA allowed the early diagnosis of 4 adenomas, one neuroendocrine tumour and 6 metastases or manifestations of peritoneal carcinomatosis. PA is ethically justifiable, as there are few complications. Moreover, it can help to avoid future appendicitis and allows early detection of malignancies.

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Prophylactic appendectomy in gynecological surgery

Cited by 19 publications

References 0 publications

Epidemiologic Perspectives of Incidental Appendectomy During Ovariectomy for Teratoma in a Developing Community, Nigeria

Epidemiologic Perspectives of Incidental Appendectomy During Ovariectomy for Teratoma in a Developing Community, Nigeria

Appendectomy in the Gynecological Setting: Intraoperative Findings and Corresponding Histopathology

Begleitappendektomie: ja oder nein?

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