Junge W D, Beckert W
Zentralbl Gynakol. 1981;103(15):909-15.
An account is given in this paper of 102 cases of appendectomy in parellel with 193 gynaecological laparotomies (52.9 per cent), with reference being made to the small amount of associated complication, as borne out by literature data on larger groups of patients. Particular reference is made, in that context, to legal and clinical prerequisites and to counter-indictions. The authors' own pathohistological findings differed from figures around 90 per cent, as reported elsewhere, in that more or less conspicuous tissue peculiarities were recorded from only 37.5 per cent of all simultaneously removed appendices. That discrepancy in evaluation is discussed. With the relative increase in incidence and complication of senile appendicitis in mind, appendectomy in parallel with gynaecological laparotomy is recommended as a genuine prophylaxis, yet, with due consideration of all necessary conditions.
本文报告了102例阑尾切除术，并与193例妇科剖腹手术（占52.9%）进行了对比，同时参考了文献中关于更大患者群体的相关并发症数据。在此背景下，特别提及了法律和临床前提条件以及禁忌证。作者自己的病理组织学研究结果与其他地方报道的约90%的数据不同，因为在所有同时切除的阑尾中，只有37.5%记录到了或多或少明显的组织特征。对这种评估差异进行了讨论。考虑到老年阑尾炎发病率和并发症的相对增加，建议在充分考虑所有必要条件的情况下，将阑尾切除术与妇科剖腹手术同时进行作为一种真正的预防措施。
