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Routine appendectomy in extensive gynecologic operations.

C Westermann, W J Mann, J Chumas

Surgery, Gynecology & Obstetrics

|April 1, 1986

Summary

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Mandatory elective appendectomy during gynecologic surgery is effective. This policy identified significant appendiceal pathology in nearly 30% of cases without increasing patient risk.

Area of Science:

Gynecologic Surgery
Surgical Pathology
Oncology

Background:

Clinical experience prompted a policy for routine appendectomy during extensive gynecologic operations.
The necessity of assessing appendiceal pathology in this context was recognized.

Purpose of the Study:

To evaluate the success of a mandatory elective appendectomy policy.
To determine the rate and nature of pathologic findings in removed appendices.
To assess procedure-related morbidity and metastatic disease incidence.

Main Methods:

Retrospective review of patients undergoing extensive gynecologic operations over 54 months.
Analysis of adherence to the elective appendectomy policy.
Examination of appendiceal specimens for pathologic findings.

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Main Results:

The policy was followed in 93% of cases, with appendectomy performed.
Definite pathologic findings were identified in 14.6% of specimens.
Equivocal pathologic findings were present in an additional 14% of specimens.
No morbidity was associated with the appendectomy procedure.

Conclusions:

Mandatory elective appendectomy during extensive gynecologic surgery is a successful policy.
The procedure yields a significant rate of appendiceal pathology detection.
This approach is safe and valuable for identifying unexpected findings, including potential metastasis.