A Comparison of Cosmetic Outcome of Periumbilical versus Intraumbilical Incision in Laparoscopic Appendectomy and Cholecystectomy-A One Year Randomised Controlled Trial

Laparoscopic surgeries are advantageous over open in terms of minimal tissue handling, earlier return bowel function, less postoperative pain, better cosmesis, lesser duration hospital stay, to full activity and decreased overall cost. The incidence injuries is 0.13%, vascular 0.05-2% abdominal wall 0.2-2%. Therefore, safe entry laparoscopy a major concern. Considering the fact that initial cavity blind procedure, there no ideal site. Various points used Umbilicus, Palmar’s point, Jain Lee-Huang etc. current study aimed compare cosmetic outcome between trans umbilical periumbilical incision for primary port insertion cases Appendicectomy Cholecystectomy. This one year RCT done Department General Surgery, KLEs Dr.Prabhakar Kore Hospital Medical Research Centre, Belagavi, from January 2022-December 2022. A total 100 patients operated laparoscopic appendectomy cholecystectomy were studied. divided into Group B based on type taken either or transumbilical. Postoperative was analyzed using POSAS score post op day 3,7 1-month follow up. results statistically significant (P<0.05). Between two incisions during POD# 3 7 difference variables such as induration, erythema, SSI. In our had SSI both groups. Transumbilical has satisfaction compared Periumbilical incision.