Morbidity was minimal at all ages .
: The data from the current survey and literature review support incidental removal of the appendix in the young patient ( < 35 years old ) .
However , routine incidental appendectomy can not be justified in patients greater than age 50
The results of the two review s were analyzed to formulate guidelines for the appropriateness of performing incidental appendectomy in association with other operative procedures .
Wound sepsis after cholecystectomy. Influence of incidental appendectomy.
We undertook a prospect i ve study of the effect of incidental appendectomy on the safety of cholecystectomy  in patients under the age of 50 years . One hundred twenty patients were r and omized to have either cholecystectomy alone or cholecystectomy and appendectomy .  All patients received preoperative antibiotic cover . Both groups were well matched for age , sex , obesity , and length of hospital stay . Twelve patients were withdrawn from the trial .  Wound infections occurred in three of the 56 patients in the cholecystectomy group ( 5.3 % ) and in two of the 52 patients in the cholecystectomy plus appendectomy group ( 3.8 % ) . Incidental appendectomy is a safe addition to elective cholecystectomy
Morbidity was minimal at all ages .
: The data from the current survey and literature review support incidental removal of the appendix in the young patient ( < 35 years old ) .
However , routine incidental appendectomy can not be justified in patients greater than age 50
The results of the two review s were analyzed to formulate guidelines for the appropriateness of performing incidental appendectomy in association with other operative procedures .