What is the less cosmetically acceptable incision for appendicectomy?

The Gridiron incision is considered the least cosmetically acceptable for appendicectomy due to its nature and location. This incision is typically made along the skin crease in the right iliac fossa and measures approximately 8 to 10 cm in length. While it provides good exposure for the procedure, the longer length and placement of the incision can lead to a noticeable scar that may not align seamlessly with the natural skin folds, making it more conspicuous after healing.

In contrast, other incisions like the Lanz or Kocher's are shorter and may follow natural skin lines or creases, which can help minimize the visibility of scars. McEvedy's incision, although larger, also has specific applications and can be more acceptable in terms of cosmetic outcomes. Thus, while the Gridiron incision is functional for surgical needs, its cosmetic outcome is less favorable compared to the other options.