iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2021.v02i02.023Wound Dehiscence after using Continuous Suture Technique in Midline Laparotomy: A Cross-Sectional StudyManjitSehgalNaveenThakurJunior Resident, Department of General Surgery, Indira Gandhi Medical College Shimla, 171001, Himachal Pradesh, IndiaBackground: Abdominal wound dehiscence is a common complication of Midline laparotomy in Indian setup. The present study was done to find out the rate of abdominal wound dehiscence by using continuous suture technique in closure of rectus sheath after midline laparotomies. Material and Method: This cross-sectional study was conducted on 100 patients undergoing midline laparotomy in the Department of General Surgery, Indira Gandhi Medical College, and 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 conventional continuous closure technique with polydioxanone No 1 (PDS) suture. Results: In this study there were 79(79%) males and21 (21%) females. The age of the patients varied from 18–75 years with a mean age 47.08 years and SD ± 15.81. 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 continuous closure technique, 32 (32%) patient developed wound dehiscence. Maximum wound dehiscence occurred in the age group of 56–65-year age group 9 (28.13%) followed by 36-45 age group 7(21.88%). Conclusion: The present study reported high incidence of wound dehiscence after using Continuous Suture Technique in Midline Laparotomy. Patients with age group of 56-65 years found to have highest incidence of abdominal wound dehiscence. Most of wound dehiscence occurred from 5th to 10th post-operative day.