[Prophylactic appendectomy with invagination during cesarean section]

Area of Science:

• Obstetrics and Gynecology
• Surgical Innovation

Background:

• Cesarean sections are common surgical procedures.
• Appendicitis can occur during pregnancy, posing risks.
• Prophylactic appendectomy during cesarean section is a potential strategy to prevent future appendicitis.

Purpose of the Study:

• To assess the safety and impact of prophylactic appendectomy performed concurrently with cesarean section.
• To evaluate the effect on postoperative morbidity, surgical time, and hospital stay.

Main Methods:

• A randomized controlled trial involving 59 term pregnant patients undergoing cesarean section.
• Group I (29 patients): Cesarean section with prophylactic appendectomy (invaginant technique).
• Group II (30 patients): Cesarean section only.

Main Results:

• No statistically significant difference in surgical time between groups (56.75 min vs. 53.96 min).
• Hospital stay durations were similar (mean 29.98 hours vs. 27.72 hours).
• No postoperative morbidity was observed in either group.

Conclusions:

• Cesarean section combined with prophylactic appendectomy using the invaginant technique is a safe and straightforward procedure.
• This combined approach does not increase postoperative morbidity, surgical duration, or hospital stay.