European Journal of Cardiovascular Medicine

Background: Operative laparoscopy has become the standard approach for most common surgeries nowadays for several reasons. Periumbilical and intraumbilical incision have been used to create pneumoperitoneum in laparoscopy. As Laparoscopic surgery has its own bundle of complexities including postoperative infection and ultimately cosmetic aspect but there no definite data regarding these aspects of Periumbilical and intraumbilical incision.  So, we aimed to compare the wound complication rates, easier and safer method of port entry and post surgical cosmesis in laparoscopy patients according to the initial laparoscopic incision. Methods: 30-50year aged 100 individuals were selected from patients who were admitted in surgery wards for laparoscopic cholecystectomy, appendectomy and diagnostic laparoscopy by simple random sampling. Informed consent was obtained from individuals after details of the procedure were explained.  Then these patients were divided in two groups with 50 patients in each group according to type of incision made for laparoscopic procedures. 50 patients received periumbilical incision and 50 patients received intraumbilical incision. Thereafter, in all of the patients postoperative major and minor complications, wound complication rate, duration of hospital stay, Results: The result showed that after intraumbulical incision wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the intraumbulical group compared to periumbilical group. Though no significant difference was observed between both procedures regarding operation time, wound infection, nausea and vomiting however, intraumbilical incision had fewer complications as compared to periumbilical incision. Conclusion: Intraumbilical incision is superior to periumbilical incision for laparoscopy in early postoperative recovery and cosmetic point of view.