F. Luthi et al., PAINFUL SYNDROME OF THE RIGHT ILIAC FOSSA AND LAPAROSCOPY - THE DECISION FOR INCIDENTAL APPENDECTOMY, Helvetica chirurgica acta, 60(1-2), 1993, pp. 39-42
Diagnostic laparoscopy is useful in the evaluation of patients with lo
wer right quadrant pain when the diagnosis is uncertain. The object of
this study was to determine whether a normal appendix should be routi
nely removed at laparoscopy. We have decided to do this in children, m
en under the age of 30 and women of childbearing age. However we do no
t perform appendectomy in men over the age of 30, women over 50 and in
immunodeficient patients. This is a working hypothesis and is the bas
is of an on-going prospective study in our unit.