Aim: To compare the outcomes of periumbilical incision versus intraumbilical
incision in patients undergoing laparoscopic appendectomy.
Study design: Randomized controlled trial
Place and duration: Department of Surgery, Central Park Medical College and Allied Hospitals
Lahore from 1st July 2019 to 31st December 2019.
Methods: Two hundred patients of both genders with ages 15 to 60 years undergoing
laparoscopic appendectomy were included in this study. Patients were equally
divided into two group, each group contains 100 patients, Group I received
paraumbilical incision and group II received intraumbilical incision. Outcomes
such as hospital stay, postoperative wound infection, nausea, and vomiting and
patients satisfaction were examined and compare between both groups.
Results: In group I, 55 (55%) were males and 45(45%) were females with mean age
36.45±10.3 years and in group II, 59(59%) patients were males while 41(41%)
were females with mean age 35.92±11.02 years. No significant difference was
observed regarding hospital stay between both groups p-value >0.05. No
significant difference was observed regarding postoperative wound infection
between both groups I and II, 4(4%) versus 1(1%) with p-value >0.05. In
group II, 1(1%) patient had postoperative nausea and 1(1%) had vomiting while
in group I, 2(2%) patients had nausea and 4(4%) had vomiting. In group I, 96%
patients were satisfied with the procedure while in group II, 98% patients were
Conclusion:No significant difference was observed between both procedures regarding
hospital stay, wound infection, nausea and vomiting and patients satisfaction.
However, intraumbilical incision had fewer complications as compared to
Keywords: Laparoscopic appendectomy, Periumbilical incision, Intraumbilical
incision, Wound infection