To the Editor.—Mulvihill et al1 described their experience with incidental appendectomy in children in a recent issue of the Archives. In the discussion, they stated that "increased incidence of wound infections appears to be particularly frequent after obstetric and gynecologic procedures." Articles by Myers and Schreier2 and Beath et al3 were used as references. Myers and Schreier did not find any significant difference in morbidity, complications, or duration of hospital stay between patients who did and did not have an appendectomy. They strongly advocated incidental appendectomy based on their data. Beath et al3 confirmed these findings. Both reports were of retrospective studies.
I believe that these articles have been misinterpreted. A different interpretation of them would definitely add support to the authors' practice of performing incidental appendectomy in infants and children, a practice that I support.
MORRIS DM. Incidental Appendectomy in Children. Arch Surg. 1984;119(2):245. doi:https://doi.org/10.1001/archsurg.1984.01390140099027
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