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Use of the appendix in reconstructive surgery: a case against incidental appendicectomy
1Wessex Regional Centre for Paediatric Surgery, General Hospital, Southampton, UK.
The British Journal of Surgery
|November 1, 1991
Summary
The appendix, once overlooked, shows surgical promise for incontinence management. Its use in reconstructive surgery, including urinary reconstruction and continence enemas, is increasingly recognized.
Area of Science:
- Surgical innovation
- Reconstructive surgery
- Urology
Background:
- The appendix was historically considered vestigial.
- Declining appendicitis incidence questions prophylactic appendicectomy.
- Emerging applications highlight the appendix's surgical utility.
Purpose of the Study:
- To review the appendix's role in reconstructive surgery.
- To explore its application in managing incontinence.
- To assess its utility in urinary reconstruction and continence enemas.
Main Methods:
- Literature review of surgical applications of the appendix.
- Analysis of case studies and surgical techniques.
- Evaluation of outcomes in reconstructive procedures.
Main Results:
- The appendix is a viable option for urinary reconstruction.
- Antegrade continence enema (ACE) using the appendix is effective for fecal incontinence.
- Surgical potential extends beyond appendicitis management.
Conclusions:
- The appendix possesses significant surgical potential beyond its traditional role.
- Reconstructive surgery utilizing the appendix offers solutions for complex incontinence.
- Further research into appendiceal applications is warranted.