Laparoscopic appendectomy for chronic right lower quadrant XXXX .

@entity1 @entity32 @entity698 @entity102 @entity854 @entity158 @entity490
PURPOSE: The appendix can be a rare cause for chronic right lower quadrant @entity490 (RLQAP), even though no objective disorder can be determined to the appendix. This condition can be described as @entity102 . After careful selection, elective appendectomy is performed in our centre for this group of @entity1 . METHODS: All @entity1 that underwent an elective appendectomy between 2006 and 2013 were prospectively analysed. Inclusion criterion was chronic RLQAP without abnormalities seen on imaging. Exclusion criterion was @entity158 after conservative treatment of (complicated) @entity698 or an abnormal appendix on imaging like a mass, mucocoele or faecolith. Primary outcome was the effect on the @entity158 postoperatively. RESULTS: In the period of the study, ten @entity1 met the inclusion criteria and underwent an appendectomy for chronic RLQAP. Average preoperative @entity158 score assessed with visual analogue scale (VAS) was 8.6. Preoperative work-up showed no abnormalities. No @entity854 were seen during surgery in any of the @entity1 . Histopathological analysis was obtained and showed @entity854 in eight of ten @entity1 , mostly suspicion of previous @entity32 . Postoperatively, no complications occurred, and at revision after 3 weeks, average VAS was 1.0. Long-term follow-up showed that @entity1 remained free of symptoms; average VAS after a median of 33 months was 1.0. CONCLUSIONS: A significant @entity158 was achieved after an appendectomy in all @entity1 suffering from chronic RLQAP in this series. Seven out of ten @entity1 were completely free of @entity158 .
