A Retrospective Study of Postoperative Abdominal Complications in Midline Laparotomy at Tertiary Care Hospital of South Gujarat

Background: The word laparotomy explains exploration of the abdomen and proceeds further according to the cause identified. A few major indications for an abdominal laparotomy are like perforation peritonitis, acute intestinal obstruction, burst appendix and blunt or penetrating abdominal injuries either due to road side accidents, fall from height or gun shot or stab injuries. Method: The Retrospective Study of 50 cases of operated midline laparotomy in department of surgery in tertiary care hospital of south Gujarat. Data like Age, Sex, Addiction, Comorbidities, Glycosylated haemoglobin (HbA1c), Nature of laparotomy (elective or emergency), Manner of rectus sheath closure (continuous or interrupted), Manner of wound closure (mass closure or layer -wise closure) collected from indoor case sheet. And post operative complications identified and evaluated. Results: In present study, most common complication seen was Surgical site infection followed by wound dehiscence while the least common complication seen was fistulisation. No case of early post operative obstruction was seen in present study. Most complications were seen in males and with diabetes most common comorbidity.