ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
257 incidental appendectomies during total laparoscopic hysterectomy.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Systematic review of clinical outcomes after prophylactic surgery.Annals of the Royal College of Surgeons of England · 2016Pooled it
- Pediatric incidental appendectomy: a systematic review.Pediatric surgery international · 2016Pooled it
- Incidental neuroendocrine tumor of a complete subserosal appendix: an unusual presentation of a rare anatomical variation. A case report and review of literature.BMC surgery · 2021Review
- Histopathological features of incidental appendectomy specimens obtained from living liver donors.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020Article
- Unindicated hysterectomies in India: the aftermath.BMJ case reports · 2019Article
- Incidental appendectomy during robotic laparoscopic prostatectomy-safe and worth to perform?Langenbeck's archives of surgery · 2018Article
- Cost-effectiveness of prophylactic appendectomy: a Markov model.Surgical endoscopy · 2017Article
- Total laparoscopic hysterectomy: technique and complications of 830 cases.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis retrospective observational report analyzes the demographics, blood loss, length of surgical duration, number of days in the hospital, and complications for 821 consecutive patients undergoing total laparoscopic hysterectomy over a 11-year period stratified by incidental appendectomy.
methodsA retrospective chart abstraction was performed. ANOVA and chi-square tests were performed with significance preset at P<0.05.
resultsOf 821 consecutive patients undergoing total laparoscopic hysterectomy, 257 underwent elective appendectomy with the ultrasonic scalpel, either as part of their staging, treatment for pelvic pain, or prophylaxis against appendicitis. Comparing the 2 groups, no difference existed in mean age of 50+/-10 years or mean BMI of 27.6+/-6.7. Both groups had a similar mean blood loss of 130 mL. Surgery took less time (137 vs 118 minutes, P<0.0012) and the hospital stay was shorter in the appendectomy group (1.5 vs 1.2, P<0.0001) possibly because it was performed incidentally in most cases. No complications were attributable to the appendectomy, and complication types and rates in both groups were similar. Though all appendicies appeared normal, pathology was documented in 9%, including 3 carcinoid tumors.
conclusionsIncidental appendectomy during total laparoscopic hysterectomy is not associated with significant risk and can be routinely offered to patients planning elective gynecologic laparoscopic procedures, as is standard for open procedures.
Indexed as
Identifiers
18237505PMC3015857W2213477909What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.