Optimal Management of Perforated Appendicitis: Review of Articles and Observational Study

Complicated appendicitis is defined as an acute episode of appendicitis, accompanied by a perforation of the appendix or the formation of an intra-abdominal abscess, with or without peritonitis. Laparoscopic appendectomies have been performed since the 1980s. However, the debate has still been ongoing on whether the laparoscopic approach is preferred over open appendectomies for complicated appendicitis, with most scholars focusing on the post-operative complications as an indicator to investigate the above.