Gynecologic pathologies in our appendectomy series and literature review

Omer Engin; Bulent Calik; Mehmet Yildirim; Ali Coskun; Gulnihal Ay Coskun

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자료유형: 학술저널

저자정보: Omer Engin (Izmir Bozyaka Training and Research Hospital) Bulent Calik (Buca Seyfi Demirsoy Large State Hospital) Mehmet Yildirim (Izmir Bozyaka Training and Research Hospital) Ali Coskun (Izmir Bozyaka Training and Research Hospital) Gulnihal Ay Coskun (Buca Seyfi Demirsoy Large State Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.80 No.4

발행연도: 2011.4

수록면: 267 - 271 (5page)

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Purpose: Appendectomy applied from the diagnosis of acute appendicitis is one the most common operations in surgery. The rates of negative appendectomy are still high. The rates of negative appendectomy in males and females differ and are higher in females. In our study, these differences, particularly in females, were studied and possible solutions were discussed. Methods: Between October 2002 and October 2009, among women receiving urgent appendectomies, those whose primary cause was gynecological pathology were studied retrospectively. All our women subjects were examined by preoperative gynecologists. After gynecological consultation, the patients were evaluated by a general surgeon due to lack of urgent ultrasonography, computed tomography (CT) and diagnostic laparoscopy and the patient received appendectomy due to acute appendicitis. Results: In our series of 1,969 appendectomies, the rate of female/male is 811/1,158. It was determined that the primary cause in 47 (47/811; 5.8%) women with applied appendectomy was gynecological pathology. As a gynecological pathology, it was observed that the most common cause was ovarian cyst ruptures at a rate of 72.3%. The negative appendectomy rate in males was found to be 14.94% (173/1,158), and in females it was 22.56% (183/811). The difference between them is significant (P ＜ 0.01). Of these women, 5.8% were gynecologically-induced and 16.76% were unrelated to gynecological causes. Conclusion: We believe that gynecological consultation before appendectomy in women is necessary, but not sufficient. It is also important that at least one of the facilities, such as us, CT, magnetic resonance imaging, and diagnostic laparoscopy should be available in surgical use for the diagnosis of negative appendicitis.

#Acute appendicitis #Gynecologic #Ovarian cyst #Negative appendectomy

참고문헌 (17)

참고문헌 신청

1. [학술지(정기간행물)] - Osime O / 2005 / Incidence of negative appendectomy: experience from a company hospital in Nigeria / Cal J Emerg Med 6 : 69 ~ 73

2. [단행본] - Ertekin C / 2009 / Acil cerrahi / Nobel Tıp Kitabevleri : 301 ~ 317

3. [단행본] - Townsend CM / 2004 / Sabiston textbook of surgery. 17th ed / Saunders : 1381 ~ 1397

4. [단행본] - Zinner MJ / 2007 / Maingot’s abdominal operations. 11th ed / McGraw-Hill : 589 ~ 611

5. [학술지(정기간행물)] - Sayek I / 2004 / Temel Cerrahi / Güneş Kitabevi : 1191 ~ 1197