Key-hole open appendicectomy.

Five hundred appendicectomies were done through a small transverse incision designed by the author and it has advantages of both minimal invasive surgery and open surgery along with cost effectiveness. Histopathological picture showed that the maximum number of cases (50%) was of catarrhal type. Retrograde appendicectomy was done in 20% cases. Extension of incision was needed in 4% cases and only 4% had wound infection. All the patients are well after 5 years of follow-up. This method with the incision can be employed by any surgeon and does not require any specialised set-up; it is also very economical.