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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
257 incidental appendectomies during total laparoscopic hysterectomy
Katherine A O'Hanlan1, Deidre T Fisher, Michael S O'Holleran
1Gynecologic Oncology Associates, Palo Alto, CA 94028, USA. ohanlan@aol.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 2, 2008
Summary
Performing an incidental appendectomy during total laparoscopic hysterectomy is safe and effective. This procedure can shorten surgery and hospital stays without increasing complications, offering potential benefits for patients.
Area of Science:
- Gynecologic Surgery
- Surgical Oncology
Background:
- Total laparoscopic hysterectomy (TLH) is a common gynecologic procedure.
- Incidental appendectomy is sometimes performed during open abdominal surgeries.
Purpose of the Study:
- To analyze outcomes of TLH with and without incidental appendectomy.
- To assess the safety and efficacy of combining these procedures.
Main Methods:
- Retrospective chart review of 821 patients undergoing TLH.
- Statistical analysis using ANOVA and chi-square tests (P<0.05).
- Stratification based on whether an appendectomy was performed.
Main Results:
- No significant differences in age or BMI between groups.
- Similar blood loss (130 mL) in both groups.
- Appendectomy group had shorter surgery (118 vs 137 min) and hospital stay (1.2 vs 1.5 days).
- No increase in complications; 9% of removed appendices showed pathology, including carcinoid tumors.
Conclusions:
- Incidental appendectomy during TLH is safe and does not increase complications.
- The procedure may reduce surgical time and hospital stay.
- Routine incidental appendectomy can be considered for patients undergoing laparoscopic gynecologic procedures.
