Incidental appendectomy with cholecystectomy

ABSTRACT

Opinions vary considerably among surgeons as to the advisability of incidental removal of the appendix during laparotomy for some other indications including cholecystectomy [Zbar et al., 1993], jejunoileal bypass for morbid obesity [Kelly, 1902], right inguinal herniorrhaphy [Ring-Morzik et al., 1993], cesarean section, hystrectomy, post partum tubal ligation [Wilson et al., 1973] and exploratory laparotomy. The frequent notation of abnormal pathologic findings in an apparently normal appendix support its elective removal [Lowery and Lenhardt, 1962]. 30% of these appendices had significant histopathological changes. The incidental removal of the appendix cause no increase in the incidence of wound infections in patients who underwent cholecystectomies [Arango et al., 1994]. If the patient in good general condition with an average surgeon, incidental appendectomy when tempered carefully appears to be innocuous favorable cases seems to be indicated