2616 Concomitant Appendectomy in Patients with Pelvic Pain: Can we Predict Abnormal Appendiceal Pathology?

To determine the prevalence of appendix pathology (i.e. endometriosis, fibrous obliteration, tumor, acute/chronic inflammation) in patients with chronic pelvic pain. To determine whether preoperative symptoms, age ( ≤ 35 or>35), or intraoperative appendiceal appearance were associated with appendix pathology.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 3: Endometriosis (10:10 AM – 10:20 AM) 10:10 AM: STATION M Source Type: research

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ConclusionResults from our study supported the idea that the release of mPFC and NAc exosomes of CCI model has elevated the pain sensations in the subjected mice. This study will further help in designing new clinical trials, and will revolutionize the drug-induced anesthetic responses.
Source: Neuroscience Letters - Category: Neuroscience Source Type: research
Adults who experience pain are more likely to use cannabis without a prescription and have cannabis use disorder than those without pain, according to astudy published yesterday inAJP in Advance.“These results suggest that, among adults with pain, frequent nonmedical cannabis use and cannabis use disorder are growing problems,” wrote Deborah S. Hasin, Ph.D., of the New York State Psychiatric Institute and colleagues. “[T]he need remains for other interventions to manage pain that do n ot incur risk of another substance use disorder (i.e., cannabis use disorder) as an adverse treatment outcome.”Hasin...
Source: Psychiatr News - Category: Psychiatry Tags: ajp in advance cannabis cannabis use disorder Deborah Hasin National Epidemiologic Survey on Alcohol and Related Conditions pain Source Type: research
CONCLUSIONS: The only sex difference was in SCM thickness. However, smaller SCMs in women did not result in less SCM SWE stiffness. We provided normative values for US-based imaging of the cervical-flexor and -extensor muscles in young and athletic men and women. PMID: 31967864 [PubMed - as supplied by publisher]
Source: Journal of Athletic Training - Category: Sports Medicine Tags: J Athl Train Source Type: research
Publication date: Available online 23 January 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Whitney Trotter Ross, Jordan M. Newell, Richard Zaino, Allen R. Kunselman, Gerald J. Harkins, Andrea S. BentonAbstractStudy ObjectiveTo evaluate the diagnosis of appendiceal endometriosis in coincidental appendectomy specimens using a standard versus modified histopathologic analysis.DesignProspective analysis of 300 consecutive patients undergoing coincidental appendectomy at time of a primary gynecologic procedure.SettingAcademic tertiary referral hospital in the Northeastern United States.PatientsWomen ages 22 to...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: Available online 4 November 2019Source: Journal of Visceral SurgeryAuthor(s): A. Faul, A. Laforest, D. FuksSummaryAppendix intussusception is rare, can be responsible of chronic unexplained abdominal pain and is mostly associated with inflammatory changes or endometriosis. A 23-year-old woman with Crohn's disease was diagnosed invaginated appendix by CT-scan and colonoscopy after several acute atypical abdominal pain episodes. These episodes were suspected to be independent of the Crohn's disease and to be attributed to the intussusception itself. A resection combining ligation of the base by colonoscopy ...
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
To determine the prevalence of appendiceal tumors in patients with chronic pelvic pain undergoing excisional surgery.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 3: Endometriosis (9:50 AM – 10:00 AM) 9:50 AM: STATION G Source Type: research
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. Altho...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff Source Type: research
Study Objective: To determine the prevalence of endometriosis of the appendix in women with chronic pelvic pain undergoing diagnostic laparoscopy. To determine if intraoperative appearance of the appendix correlates with underlying histological disease.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research
Endometriosis is a chronic and incurable condition associated with debilitating pain and subfertility that affects approximately 176 million women worldwide.1,2 It is a complex, and heterogeneous disorder of unknown aetiology defined by the presence of endometrial-like tissue (lesions) outside the uterus. Despite an estimated prevalence in women that mirrors that of diabetes, Crohn's disease, and rheumatoid arthritis, the full socioeconomic impact of endometriosis is considerably underestimated.
Source: LANCET - Category: General Medicine Authors: Tags: Correspondence Source Type: research
AbstractWhile endometriosis typically affects the ovaries, deep infiltrating endometriosis can affect the gastrointestinal tract, urinary tract, and deep pelvis, awareness of which is important for radiologists. Symptoms are nonspecific and can range from chronic abdominal and deep pelvic pain to nausea, vomiting, diarrhea, constipation, hematuria, and rectal bleeding. Ultrasound and computed tomography may show nonspecific soft-tissue density masses causing bowel obstruction and hydronephrosis. This constellation of presenting symptoms and imaging evidence is easily mistaken for other pathologies including infectious gast...
Source: Abdominal Imaging - Category: Radiology Source Type: research
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