What is the less cosmetically acceptable incision for appendicectomy?

The Gridiron incision is considered less cosmetically acceptable for appendicectomy for several reasons. This incision, also known as the right lower quadrant incision, typically runs from the anterior superior iliac spine to the umbilicus or follows a curved, oblique path that can result in a more noticeable scar. The incision is designed to provide excellent exposure of the appendix, particularly for cases with complications, but its position on the abdomen makes it quite visible, particularly in individuals with less abdominal fat or those who are more active.

In contrast, incisions such as McEvedy's, Kocher's, and Lanz are generally more favorable in terms of cosmesis. They tend to be placed in less conspicuous areas or designed in such a way as to minimize scarring. For example, Lanz's incision is made in a horizontal line close to the bikini line, making it more favorable for aesthetic outcomes. Understanding the implications of incision choice can greatly affect a patient's satisfaction regarding the surgical outcome, not just in terms of functional recovery but also in terms of cosmetic results.