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Background: The closure is a crucial factor in, laparotomy wound. Fascial layers provide a major tensile strength in wound closure. Poor wound, healing, and development of wound infection and, the incisional wound are the common complications of open abdominal surgery. Objective: To evaluate abdominal wound closure in terms of the outcome of wound, infection, and wound pain. Methods: Detailed, clinical history, clinical examination including per abdominal and per-rectal examination, routine blood investigations & chest x-ray screening was done. In all the patients undergoing laparotomy wound closure done with continuous suture and Aberdeen knot. All the patients were observed for complications after operation & followed up at 1 week, 15 days,3,6 months postoperatively. Results: Most of the patients presented with intestinal obstruction (11) and peptic perforation (9) followed by ileal perforation (8) and appendicular perforation (6). There were 3 patients with liver abscess and Koch’s abdomen, 2 patients with incisional hernia. 1 patient each of pseudocyst, CA descending colon, Ca stomach SMA thrombosis, rectal prolapse, abdominal Trauma, obstructed inguinal hernia, GOO. The most common complication was wound infection (5) followed by chronic wound pain (3), wound dehiscence (2). 1 patient developed an incisional hernia. None of the patients had stich granuloma or suture sinus formation. Conclusion: In laparotomy, wound closure with continuous suture and Aberdeen knot reduces the incidence of infection, wound dehiscence, incisional hernia, suture sinus formation, and stitch granuloma & chronic wound pain. Thus, this method holds the promise for a safe technique of closure with minimal complication.

Evaluation of Laparotomy Fascial Wound Closure with Continuous Suture and Intermittent Aberdeen Knot