Take it or leave it? Incidental appendectomy at time of gynecologic oncology laparotomy

When performed by a gynecologic oncologist, appendectomy at the time of laparotomy was safe and did not increase the risk of complications. Our results demonstrate a high rate of occult abnormal histology despite a normal intraoperative appearance. These findings suggest that intraoperative appearance alone is not sufficient, and support performing incidental appendectomy at the time of gynecologic oncology exploratory laparotomy.

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Publication Details

Journal
Gynecologic Oncology Reports
Published
2025-08-18
DOI
https://doi.org/10.1016/j.gore.2025.101926
Primary Topic
Appendicitis Diagnosis and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Take it or leave it? Incidental appendectomy at time of gynecologic oncology laparotomy

H Butler, Yevgeniya Ioffe, Linda Hong, Ruofan Yao et al.
Gynecologic Oncology Reports
Appendicitis Diagnosis and Management
article

Take it or leave it? Incidental appendectomy at time of gynecologic oncology laparotomy

H Butler, Yevgeniya Ioffe, Linda Hong, Ruofan Yao, Nora Badiner, Mary Herberger, Angela Mirzadeh, Lauren Sword
article en

Abstract

When performed by a gynecologic oncologist, appendectomy at the time of laparotomy was safe and did not increase the risk of complications. Our results demonstrate a high rate of occult abnormal histology despite a normal intraoperative appearance. These findings suggest that intraoperative appearance alone is not sufficient, and support performing incidental appendectomy at the time of gynecologic oncology exploratory laparotomy.

Gynecologic Oncology ReportsVol. 61
Loma Linda University Medical Center (US), Loma Linda University (US), Women’s Health Care (US), Texas Health Harris Methodist Hospital Fort Worth (US)
Openalex Percentile: Top 68%
Appendicitis Diagnosis and Management
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