Incidental appendectomy during gynecological surgery

Claudius Amyland performed the first incidental appendectomy. He removed an inflamed appendix through a hernial sac of a 7-year-old boy w x 1 . Incidental appendectomy is not a common procedure during gynecological surgery due to fear of infection, morbidity and mortality. Approximately one in 800 over the age of 40 may die w x from appendicitis 2 . The appendix is a pelvic organ; in 30% of cases, salpingitis is a realistic complication of an inflamed pelvic appendix and further threatens viability and functional capacity of the fallopian tubes. This may lead to chronic pelvic pain and adhesions. This diagnosis and management of appendicitis in pregnancy can be very difficult and can be associated with a high maternal and fetal morbidity and mortality. We present a retrospectively analyzed data over Ž . 8 years of incidental appendectomy study group compared with routine procedures without apŽ . pendectomy control group .