Acute Appendicitis

Acute appendicitis is one of the most common cause of acute abdomen and one of the most common surgical emergencies. Appendectomy for acute appendicitis is one of the most commonly performed surgical procedures (2). The surgical technique of first open appendectomy (OA) was performed by Dr. Charles Mcburney in 1894 and this approach has not significantly changed in the last 1 century (3).In 1983, Dr. Kurt Semm , performed first minimally invasive laparoscopic appendectomy, thereafter LA has become the standard of practice in uncomplicated appendectomies in most minimally invasive institution (4). In the past few years of minimally invasive surgery, LESS,NOTES has gained popularity. SILA was first described in 1998 by Esposito and has gained