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The appendix in endometriosis.

Cici Guo1, Michelle Zhiyun Chen1,2, Tricia Chiu1

  • 1Department of Colorectal Surgery, Nepean Hospital, Sydney, New South Wales, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|July 10, 2023
PubMed
Summary
This summary is machine-generated.

Routine appendicectomy during Stage IV endometriosis surgery is safe and effective. Histopathology confirmed endometriosis in 35.8% of appendices, suggesting routine removal benefits patients with colorectal involvement.

Keywords:
appendicectomyappendixendometriomaendometriosis

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Area of Science:

  • Gynecology
  • Surgical Oncology
  • Pathology

Background:

  • Stage IV endometriosis frequently involves the intestines.
  • The prevalence of appendiceal endometriosis is not well-established.
  • Endometriosis can be present in appendices that appear normal.

Purpose of the Study:

  • To evaluate the utility of routine appendicectomy in Stage IV endometriosis surgery.
  • To determine the histopathological prevalence of appendiceal endometriosis in this patient group.

Main Methods:

  • Retrospective analysis of 67 patients with Stage IV endometriosis undergoing surgery (2018-2022).
  • Inclusion criteria: Stage IV endometriosis with routine appendicectomy.
  • Exclusion criteria: Non-Stage IV endometriosis, cancer surgery, or emergency surgery.

Main Results:

  • Appendiceal endometriosis confirmed in 35.8% of patients.
  • No appendicectomy-related complications were observed.
  • Mean hospital stay was 4.4 days; other complications included infections and ureteric injury.

Conclusions:

  • Laparoscopic appendicectomy is safe during Stage IV endometriosis surgery.
  • Routine appendicectomy should be considered for Stage IV endometriosis patients with colorectal involvement.