Prospective analysis of the effect of incidental appendectomy on XXXX rate after cholecystectomy.

@entity1 @entity281 @entity1085 @entity2679
I prospectively studied 100 @entity1 to see whether "incidental appendectomy" with cholecystectomy affects wound @entity281 rate. Randomization resulted in groups similar in age, habitus, and sex. Forty-seven @entity1 had appendectomy. The most frequent @entity1085 was chronic @entity2679 . Positive cultures were obtained from 11% of gallbladders. The mean age of @entity1 with gallbladder bacteria was 14.5 years older than that of the series. True pathologic changes were seen in 6% of appendices. Average operative time was extended six minutes by appendectomy. Length of postoperative hospital stay was unchanged by the addition of appendectomy. There were no infections in the @entity1 without appendectomy and one (2%) in the group with appendectomy. The total 1% @entity281 rate is considerably below most reported rates. There was no difference in @entity281 rate between groups with and without appendectomy (P = .47). Unless the procedure is technically difficult, appendectomy with elective cholecystectomy does not increase the chance of @entity281 .
