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Korean Journal of Obstetrics & Gynecology 2005;48(11):2656-2660.
Published online November 1, 2005.
The Safety of Incidental Appendectomy during Total Abdominal Hysterectomy.
Ji Sun We, Ye Hoon Choi, Hee Jeong Yu, Cheol Hoon Park, Yong Wook Kim, Duck Yeong Ro, Tae Eung Kim, Jae Keun Jung
Department of Obstetrics and Gynecology, College of Medicine, Our Lady of Mercy Hospital, Catholic University of Korea. duckyeong20@yahoo.co.kr
Abstract
OBJECTIVE
To evaluate the safety of the incidental appendectomies in women who undergo total abdominal hysterectomies for benign diseases. METHODS: This was a retrospective case-controlled study of patients who did (n=54) or did not (n=70) undergo incidental appendectomies at the time of an total abdominal hysterectomy between January 2002 and December 2003. Data were obtained about operation time, the number of days with nothing by mouth, the length of hospital stay (LOS), postoperative complications and pathology of appendix. Data were analyzed using student t-test. RESULTS: 1) There was no significant difference between two groups in operation time. The mean time was 120.0+/-23.8 in incidental appendectomy group and 112.5+/-23.9 minutes in control group. 2) There was no significant difference between two groups in the days with nothing by mouth. The mean was 1.06+/-0.23 in incidental appendectomy group and 1.03+/-0.17 days in control group. 3) There was no significant difference between two groups in the length of hospital stays. The mean was 7.34+/-0.68 in incidental appendectomy group and 7.14+/-1.15 days in control group. 4) There were no significant differences between two groups with respect to the post operative complications; fever, wound infection, stump disruption, and postoperative bleeding. 5) Seventy-six percent of the histologic specimens were abnormal, with fecalith being most common, and there were three cases of acute appendicitis. CONCLUSION: An incidental appendectomy at the time of hysterectomy does not increase operation time, the days with nothing by mouth, LOS, and postoperative complication rates. The incidental appendectomies during total abdominal hysterectomy may be safe procedures.
Key Words: Incidental appendectomy, Total abdominal hysterectomy


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