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[Appendectomy in parallel with gynaecological laparotomy (author's transl)]
Zentralblatt Fur Gynakologie
|January 1, 1981
Summary
Performing appendectomy during gynecological laparotomies is a safe and effective prophylactic measure against appendicitis, especially in older patients. This approach minimizes complications and offers significant preventative benefits.
Area of Science:
- Surgical Procedures
- Gastroenterology
- Gynecology
Context:
- Appendectomy is frequently performed concurrently with gynecological laparotomies.
- Existing literature suggests low complication rates for combined procedures.
- Senile appendicitis incidence and complications are increasing.
Purpose:
- To evaluate the safety and efficacy of performing appendectomy concurrently with gynecological laparotomies.
- To assess the rate of pathohistological findings in simultaneously removed appendices.
- To recommend appendectomy as a prophylactic measure in specific contexts.
Summary:
- This study details 102 appendectomies performed alongside 193 gynecological laparotomies.
- Low complication rates were observed, aligning with broader literature.
- Pathohistological analysis revealed tissue peculiarities in 37.5% of appendices, contrasting with higher reported figures.
- The discrepancy in pathohistological findings is discussed.
Impact:
- Recommends concurrent appendectomy as a prophylactic strategy for senile appendicitis.
- Highlights the importance of considering legal, clinical prerequisites, and contraindications.
- Suggests this combined approach is a viable preventative measure when conditions are met.