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JSLS. 2013 Jan-Mar;17(1):82-7. doi: 10.4293/108680812X13517013317031.

Laparoscopic appendectomy in women without identifiable pathology undergoing laparoscopy for chronic pelvic pain.

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  • 1Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL, USA.

Abstract

OBJECTIVES:

To assess the effectiveness of appendectomy in women undergoing laparoscopy for chronic pelvic pain without identifiable pathology.

METHODS:

This retrospective cohort study included women aged 15 to 50 years who underwent laparoscopic surgery for chronic pelvic pain without identifiable pathology. The cohort was divided into 2 groups: women who underwent appendectomy and women who had not undergone appendectomy at laparoscopic surgery. Postoperative pain was assessed at 6-week follow-up and by subsequent mailed questionnaire.

RESULTS:

Women who underwent appendectomy (n = 19) were significantly more likely to report improvement in pain at 6-week follow-up than women who did not undergo appendectomy (n = 76) (93% vs 16%; P < .001). Thirty-six patients (38%) responded to the questionnaire at a median of 4.2 years after surgery, when the median change (improvement) in reported pain was greater in the appendectomy group than in the nonappendectomy group.

CONCLUSION:

Appendectomy is effective therapy for patients with chronic pelvic pain of unknown etiology who are undergoing laparoscopy.

PMID:
23743376
[PubMed - indexed for MEDLINE]
PMCID:
PMC3662750
Free PMC Article
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