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Abstract Acute appendicitis is the most common cause of the acute abdomen requiring surgery with a lifetime risk of 6%-8%, which is maximal in childhood and declines steadily with age as the lymphoid tissue and vascularity atrophy. The aim of the present study was to Compare between Open and laparoscopic appendectomy in complicated cases as regard post-operative improvement (Pain, leakage, sepsis, hospital stay, return to work). This study was a Prospective non randomized study which included100 patients from emergency department at Benha University Hospital and. Through one year started from 1st of may 2020 to 30st of april 2021. The main results of the study revealed that: There were no significant differences between both groups regarding age, gender, and weight. There were no significant differences between both groups regarding symptoms duration, generalized peritonitis, and pre-operative TLC. There were no significant differences between both groups regarding operative time and drain inserted. There were no significant differences between both groups regarding duration to regain of fluid intake and hospital stay. Wound infection was significantly higher in group A (18%) compared to group B (2%). Based on our findings, It was concluded that Laparoscopic appendectomy is superior to open appendectomy in terms of wound site infections. |