iarjimphIARJIMPHIARJIMPH2709-331Xhttps://doi.org/10.47310/iarjimph.2021.v02i02.017Incidence of Wound Dehiscence after using Interrupted X Suture Technique in Midline LaparotomyManjitSehgalNaveenThakurJunior Resident, Department of General Surgery, Indira Gandhi Medical College Shimla, Shimla, IndiaBackground: Abdominal wound dehiscence defined as post-operative wound separation that involves all the layers of abdomen wall. The present study was done to find out the rate of abdominal wound dehiscence by using Interrupted X suture technique in closure of rectus sheath after midline laparotomies. Material & Method: This cross sectional study was conducted on 100 patients undergoing midline laparotomy in the Department of General Surgery, Indira Gandhi Medical College, Shimla from June 2018 to December 2019. Patients were selected who require midline laparotomy either as emergency or elective procedure. The patients underwent closure of rectus sheath with Interrupted X closure technique with polydioxanone No 1 (PDS) suture. Results: In this study there were 89 (89%) males and 11 (11%) females.  The age of the patients varied from 18–75 years with a mean age of 45.65 years and SD ± 14.93. In current study the common indication of midline laparotomy was hollow viscus perforation and D1 perforation i.e perforated duodenal ulcer was the most common indication. It was observed that out of total 100 patients who underwent Interrupted X closure technique, 6 (6%) patient developed wound dehiscence. Most of wound dehiscence occurred from 5th to 10th post-operative day. Maximum wound dehiscence occurred in the age group of 36-55 years & 46-55 age group 2(33.33%) each. Conclusion: The present study reported quite low incidence of wound dehiscence after using Interrupted X Suture Technique in Midline Laparotomy. Patients with age group of 36-55 years found to have highest incidence of abdominal wound dehiscence. Using interrupted X suture technique in sheath closure, wound dehiscence can be prevented up to quite an extent.