Is gangrenous or perforated appendicitis a contraindication to laparoscopic appendectomy

Is gangrenous or perforated appendicitis a contraindication to laparoscopic appendectomy? 

  • No. Although conversion rates vary between 6% and 50%, reportedly related to surgical experience, laparoscopic appendectomy is associated with a decreased wound infection rate, quicker return of bowel function, and no difference in intraabdominal abscess rate.
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