TITLE:
Surgical Management of Appendicular Endometriosis: A Series of Cases
AUTHORS:
Haley Calcagnotto, Gabriela Françoes Rostirolla, Arthur Henry Michelon, Élvio Heitor Michelon, Eduardo Brambilla
KEYWORDS:
Endometriosis, Appendix, Appendicular Endometriosis, Appendectomy, Laparoscopy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.12,
December
25,
2024
ABSTRACT: Endometriosis is a condition characterized by the presence of endometrial tissue outside the uterine cavity. This tissue, found in the inner lining of the uterus, develops in other pelvic organs, such as the ovaries, fallopian tubes, peritoneum, and bowel. In cases of deep endometriosis, the appendix may be affected, and consequently, appendectomy becomes a perioperative possibility. From February 2018 to February 2023, the surgical team performed 133 laparoscopic procedures. The number of appendectomies by the time of the surgical procedure was 19.5% (26 cases), with 50% of these (13 cases) confirming the histological presence of appendiceal endometriosis (AE), no increasing of postoperative complications was noticed. This report is important to reinforce multidisciplinary training, review postoperative complications, and provide training in advanced pelvic surgery. Furthermore, it aims to emphasize that appendectomy performed during the surgical act is a safe and viable procedure that does not increase complication rates.