Evaluation the Role of Laparoscopic Management of Perforated Appendicitis
Evaluation the Role of Laparoscopic Management of Perforated Appendicitis
A laparoscopic appendectomy (LA) was first reported by Semm in 1983. Since then, its
 advantages, such as the aesthetic appearance of the wound, less postoperative pain, and
 faster recovery which facilitates early discharge, have been highlighted, and the number of
 procedures performed has been continuously increasing.
The LA was performed mostly on uncomplicated appendicitis due to negative opinions about its
 safety when it was first introduced. However, the application of the procedure has been
 extended to complicated appendicitis (CA), and it is now considered as an alternative
 procedure to an open appendectomy (OA) as its safety record has improved . Nevertheless, it
 is still controversial because there are still concerns about surgical difficulties in
 managing CA with laparoscopy, overall surgery time, possible post-op complications and
 conversion to an OA during the surgery.

 this study aimed to evaluate the safety and the efficacy of LA for managing perforated
 appendicitis.
Inclusion Criteria:

 -  Clinical diagnosis of acute perforated appendicitis

 -  fit for laparoscopy and general anesthesia.

 -  written informed consent.

 -  short term outcome data and agree to provide contact information.

 Exclusion Criteria:

 -  high risk for general anesthesia.

 -  Appendicular abscess and appendicular mass .

 -  ongoing infections including chest infections .

 -  Children and pregnant females .