Background: This study was aimed to compare laparoscopic with open appendicectomy and ascertain the therapeutic benefit, in the overall management of appendicitis. Laparoscopic appendicectomy though widely practiced has not gained universal approval. Laparoscopic appendicectomy in India is relatively new and the literature is exiguous.Methods: The study group consisted of 100 patients suffering from appendicitis. 40 patients underwent laparoscopic appendicectomy (LA) and 60 patients underwent open appendecectomy (OA). Comparison was based on length of hospital stay, operating time, postoperative morbidity, postoperative complications, duration of convalescence and operative cost in terms of their medians.Results: The rate of infections and overall complications (LA: 5%, OA: 11.66% were significantly lower in patients undergoing LA. The median length of stay was significantly shorter after LA (45% discharged 2nd day) than after OA (36% discharged on 4th day). VAS WAS 0-2 IN 60% cases LA and9-10 in 00% cases as compared to OA VAS Was 0-2 in15% and 9-10 in 3.33% cases.Conclusions: LA is associated with increased clinical comfort in terms of fewer wound infections, faster recovery, earlier return to work and improved cosmesis. Hospital stay for LA is significantly shorter and the one-time operative charges appear to be almost the same.

Background- In the present era Laparoscopic cholecystectomy has established as the gold standard to open cholecystectomy. It is proved that one of the commonest causes among stressful minimal access surgery is wrong port position, even if one port is at wrong place or not following laws of ergonomics. In this study, we have study of ergonomics in laparoscopic cholecystectomy by changing epigastric port site in relation to falciform ligament A total of 40 patients, 20 in each conventional and 20 Methodusing our modied epigastric port site laparoscopic cholecystectomy was performed and ergonomics was measured in terms of azimuth angle, manipulation angles and baseball eld concept. The angle of manipulation in our Result- cases was 60 degree (vs 105 degree in control). Azimuth angle was 30 degree (vs 80 degree). Distance between optical and epigastric port is on average 5.7.5 cm (vs 14-16 cm) and distance between target and epigastric port is on average 12-15 cm (vs 6-7 cm). Above ndings are following principles of ergonomics In LC, epigastric port Summarywhen inserted to the left of falciform ligament gives better ergonomics integration in terms of manipulation angle, azimuth angle than from right of ligament. providing better freedom of movement, precision and also reduce physical strains on the surgeon plus increases productivity intraoperatively following baseball eld concept.