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Appendectomy in patients undergoing laparoscopic surgery for pelvic pain
1Center for Women's Care and Reproductive Surgery, 1140 Hammond Drive, Suite F-6230, Atlanta, GA 30328, USA.
Study Objective:
To evaluate pathologic findings in appendixes of women undergoing laparoscopic surgery for pelvic pain.
Design:
Retrospective study (Canadian Task Force classification II-2).
Setting:
Private practice specializing in gynecologic endoscopic surgery.
Patients:
One hundred ninety women.
Intervention:
Prophylactic appendectomy.
Measurements And Main Results:
On pathologic evaluation, 154 appendixes were diagnosed as having one or more abnormal findings, such as endometriosis, carcinoid, chronic appendicitis, periappendicitis, fibrous obliteration, and lymphoid hyperplasia.
Conclusion:
Women undergoing laparoscopic surgery for pelvic pain should be counseled on the high frequency of abnormal findings in the appendix, including endometriosis. Prophylactic appendectomy appears to be a worthwhile consideration in these patients.
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