Open to Laparoscopic Reverse Conversion of Perforated Appendicitis

Inclusion Criteria: * symptoms consistent with acute perforated appendicitis, * had ultrasound or computed tomography (CT) evidence of acute perforated appendicitis, * ages ranging from 16 to 65 years. Exclusion Criteria: * radiological evidence of appendicular mass, * septic shock or multi-organ failure (MOF) at presentation, * Diabetes Mellitus (DM), renal failure, morbid obesity * recent (6-month) history of thromboembolic disease * immunomodulators, * a history of inflammatory bowel disease (IBD), * postoperative pathological report of the removed appendix revealed carcinoid or Crohn's disease, * American Society of Anesthesiology (ASA) classification more than II.