MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. SiedhoffThe role of appendectomy at the time of laparoscopic surgery for benign gynecologic conditionsPeters, Ann; Mansuria, Suketu M.Author Information Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA Correspondence to Suketu M. Mansuria, MD, Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, 300 Halket Street, Pittsburgh, PA 15213, USA. Tel: +1 412 641 8769; fax: +1 412 641 3447; e-mail: [email protected] Current Opinion in Obstetrics and Gynecology: August 2018 - Volume 30 - Issue 4 - p 237-242 doi: 10.1097/GCO.0000000000000466 Buy Metrics Abstract Purpose of review The risk–benefit ratio of concurrent appendectomy at the time of gynecologic surgery has long been debated and remains controversial. However, emerging data on the appendix's role in chronic pain syndromes point to a previously unrecognized link between gynecologic disorders and appendicular pathology. In this article, we review the indications for appendectomy at the time of laparoscopic gynecologic surgery for the treatment of endometriosis and chronic pelvic pain. Recent findings The incidence of appendiceal endometriosis is highly variable depending on the patient population selected. Although rare in patients undergoing appendectomy for acute appendicitis, women with endometriosis may experience rates as high as 9.3–39.0%, especially when suffering from deep infiltrative endometriosis. Appendectomy may also significantly reduce pain in women with unexplained chronic pelvic pain. Summary Despite lack of prospective data, retrospective studies suggest that appendectomy during gynecologic procedures for chronic pelvic pain and severe endometriosis may be beneficial and necessary to fully address the treatment of these complex gynecologic conditions. In these clinical scenarios, the benefits of laparoscopic appendectomy at the time of the primary gynecologic procedure may outweigh the risks and cost, and should be discussed with patients preoperatively. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.