Pneumoperitoneum was created with the Verees Needle in the inferior crease of the umbilicus. About two liters of the CO2  gas was insufflated and 10 mm port created in the umbilicus. Pus in the pelvic cavity,  small bowel interloop  adhesions , pus flakes, and omental adhesions in the RIF found. Under vision another 10 mm port mde in the LIF. A 2 mm Stryker Mini Allegator Grasper  introduced in the abdomen from RHC. The perforated Appendix was dissected and a Meltzer knot was applied to its base. The appendix was divided with harmonic scalpel and retrieved in an endobag. Thorough peritoneal saline lavage was done. A tube drain placed in the pelvic cavity. Desufflation done, ports removed and insicion closed.oday the doctors attended an interactive OR session on Laparoscopic Appendectomy of a perforated appendix. The patient had three days history of Ac. Appendicitis and presented with guarding and rigidity of the lower abdomen.