Appendectomy in the surgical management of women with endometriosis and pelvic pain

Objective To evaluate the role of appendectomy in surgical excision of endometriosis and to assess complications associated with appendectomy. Methods Retrospective study of women undergoing appendectomy for pelvic pain and/or endometriosis during a primary gynecologic procedure. Results Record revi...

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Veröffentlicht in:International journal of gynecology and obstetrics 2021-09, Vol.154 (3), p.526-531
Hauptverfasser: Ross, Whitney Trotter, Chu, Amanda, Li, Linda, Kunselman, Allen R., Harkins, Gerald J., Deimling, Timothy A., Benton, Andrea S.
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Sprache:eng
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Zusammenfassung:Objective To evaluate the role of appendectomy in surgical excision of endometriosis and to assess complications associated with appendectomy. Methods Retrospective study of women undergoing appendectomy for pelvic pain and/or endometriosis during a primary gynecologic procedure. Results Record review was performed for 609 women who underwent appendectomy between 2013 and 2019 for pelvic pain (6.9%, 42/609), stage I–II endometriosis (63.7%, 388/609), or stage III–IV endometriosis (29.4%, 179/609). Appendiceal endometriosis (AppE) was present in 14.9% (91/609); 2.4% without endometriosis (1/42, reference group), 7.0% with stage I–II endometriosis (27/388, odds ratio [OR] 3.06, 95% confidence interval [CI] 0.41–23.11, P = 0.278), and 35.2% with stage III–IV endometriosis (63/179, OR 22.24, 95% CI 2.99–165.40, P = 0.002). AppE was significantly associated with endometriosis present in other locations (OR 5.27, 95% CI 2.66–10.43, P 
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.13614