Prophylactic appendectomy during laparoscopic surgery for other conditions

S. Occhionorelli, R. Stano, S. Targa, S. Maccatrozzo, L. Cappellari, G. Vasquez, Tomas Salerno

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Acute appendicitis remains the most common surgical emergency. Laparoscopy has gained increasing favor as a method of both investigating right iliac fossa pain and treating the finding of appendicitis. A question arises: what to do with an apparent healthy appendix discovered during laparoscopic surgery for other pathology. We present a case of unilateral hydroureteronephrosis complicated with rupture of the renal pelvis, due to gangrenous appendicitis with abscess of the right iliopsoas muscle and periappendicular inflammation in a 67-year-old woman, who underwent laparoscopic right annessiectomy for right ovarian cyst few years earlier, in which a healthy appendix was left inside.There is a lack of consensus in the literature about what to do with a normal appendix. The main argument for removing an apparently normal appendix is that endoluminal appendicitis may not be recognized during surgery, leading to concern that an abnormal appendix is left in place. Because of a lack of evidence from randomized trials, it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the costs and risks of morbidity associated with this prophylactic procedure. Nevertheless, it appears, from limited data, that women aged 35 years and under benefit most from elective coincidental appendectomy.

Original languageEnglish (US)
Article number292864
JournalCase Reports in Medicine
Volume2014
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Appendectomy
Appendicitis
Laparoscopy
Psoas Abscess
Ovarian Cysts
Kidney Pelvis
Rupture
Consensus
Emergencies
Pathology
Inflammation
Morbidity
Costs and Cost Analysis
Pain
Muscles

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Occhionorelli, S., Stano, R., Targa, S., Maccatrozzo, S., Cappellari, L., Vasquez, G., & Salerno, T. (2015). Prophylactic appendectomy during laparoscopic surgery for other conditions. Case Reports in Medicine, 2014, [292864]. https://doi.org/10.1155/2014/292864

Prophylactic appendectomy during laparoscopic surgery for other conditions. / Occhionorelli, S.; Stano, R.; Targa, S.; Maccatrozzo, S.; Cappellari, L.; Vasquez, G.; Salerno, Tomas.

In: Case Reports in Medicine, Vol. 2014, 292864, 01.01.2015.

Research output: Contribution to journalArticle

Occhionorelli, S, Stano, R, Targa, S, Maccatrozzo, S, Cappellari, L, Vasquez, G & Salerno, T 2015, 'Prophylactic appendectomy during laparoscopic surgery for other conditions', Case Reports in Medicine, vol. 2014, 292864. https://doi.org/10.1155/2014/292864
Occhionorelli S, Stano R, Targa S, Maccatrozzo S, Cappellari L, Vasquez G et al. Prophylactic appendectomy during laparoscopic surgery for other conditions. Case Reports in Medicine. 2015 Jan 1;2014. 292864. https://doi.org/10.1155/2014/292864
Occhionorelli, S. ; Stano, R. ; Targa, S. ; Maccatrozzo, S. ; Cappellari, L. ; Vasquez, G. ; Salerno, Tomas. / Prophylactic appendectomy during laparoscopic surgery for other conditions. In: Case Reports in Medicine. 2015 ; Vol. 2014.
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