Abstract
Study ObjectiveTo evaluate pathologic findings in appendixes of women undergoing laparoscopic surgery for pelvic pain. DesignRetrospective study (Canadian Task Force classification II-2). SettingPrivate practice specializing in gynecologic endoscopic surgery. PatientsOne hundred ninety women. InterventionProphylactic appendectomy Measurements and Main ResultsOn pathologic evaluation, 154 appendixes were diagnosed as having one or more abnormal findings, such as endometriosis, carcinoid, chronic appendicitis, periappendicitis, fibrous obliteration, and lymphoid hyperplasia. ConclusionWomen undergoing laparoscopic surgery for pelvic pain should be counseled on the high frequency of abnormal findings in the appendix, including endometriosis. Prophylactic appendectomy appears to be a worthwhile consideration in these patients.
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