Laparoscopic versus open approach in acute appendicitis

Appendicitis is a pathology characterized by the obstruction of the lumen of the vermiform patient and is considered one of the first causes of acute abdomen that requires emergency surgery to avoid patient mortality, which is why two surgical management alternatives are used: open appendectomy and laparoscopic appendectomy. There are controversies about which is the best approach, but according to various studies it is reported that there is no significant evidence to say which is the best approach, however, it is also established that laparoscopy outperforms the open approach due to its better aesthetic result and less days of hospital stay in the postoperative period, there is less postoperative pain but greater surgical time and probability of residual abscesses in the laparoscopic group, with no difference in mortality in both groups, in addition to this it is reported that in patients approached by laparoscopy presenting a rapid return to daily activities and daily work, presenting a lower frequency of infections at the level of the surgical wound and also a lower rate of postoperative adhesions, with the consequent directly proportional decrease in postoperative complications such as, for example, occlusion by girlfriends and suture dehiscence’s