J Acute Care Surg.  2019 Oct;9(2):35-38. 10.17479/jacs.2019.9.2.35.

The Benefits and Risks of Performing Incidental Appendectomy

• Lee JY
• Sul YH
• Ye JB
• Go SJ
• Lee JS
• Kim HR
• Yoon SY
• Kim JS

• KMID: 2464981
• DOI: http://doi.org/10.17479/jacs.2019.9.2.35

Abstract

Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. The risks and benefits of incidental appendectomy during other operations have been debated for over a century. There is no right answer to the question of whether or not to perform incidental appendectomy. Although there are only a few indications where it is explicitly recommended such as in gynecological surgery, malrotation, and Ladd's procedure, incidental appendectomy is cost-effective in selected patient groups, especially in the young, without an increase in morbidity and mortality. In this review, the literature on incidental appendectomy was assessed from several perspectives.

Keyword

incidental appendectomy; costs and cost analysis; youth

MeSH Terms

Adolescent
Appendectomy*
Appendicitis
Costs and Cost Analysis
Emergencies
Female
Gynecologic Surgical Procedures
Humans
Mortality
Risk Assessment*