International Surgery Journal | January 2022 | Vol 9 | Issue 1 Page 107 International Surgery Journal Gandhi CS et al. Int Surg J. 2022 Jan;9(1):107-110 http://www.ijsurgery.com pISSN2349-3305 | eISSN2349-2902 Original Research Article Short term outcome of midline laparotomies in view abdominalfascia closer Chinmay S. Gandhi*, Dajiram G. Mote, Zahid Shivani, Kalan Kumar Sama INTRODUCTION The laparotomies done through midline are common surgical operation for gaining quick and safe access to the abdominal cavity during elective and emergency abdominal procedures. The patients undergoing midline laparotomies are at significant risk of post-operative complications surgical site infection and surgical site occurrences like wound dehiscence, incisional hernia and bowel obstruction. There are various techniques for abdominal fascial closer. Regular bite closeris the technique followed in many hospitals. Recently small bite technique is advocated to reduce surgical site infection, surgical site occurrences and incisional hernias in elective laparotomies. 1,2 Objectives Objective of the present study is to compare short term outcome of small bite abdominal closer against regular bite abdominal closer. Short term results like surgical site infection and surgical site occurrences will be compared. METHODS This is prospective non randomizedobservational cohort study carried out at Bharati Vidyapeeth deemed to be university medical college & hospital, Sangli. The study ABSTRACT Background: This is a prospective non randomized observational comparative study for surgical site infections and surgical site occurrences after laparotomy fascia closer with two different techniques. Regular bite remains the standard of care in most hospitals. Laparotomies were done for elective and emergency cases. Methods: There were two techniques used to close abdominal wall fascia. The present study has evaluated small bite abdominal closer verses regular bite closer. Author and his team had used small bite fascia closer technique for all laparotomies, while other group of surgeons utilized regular bite fascia closer. Results: Out of 26 laparotomies in short bite closer, 8 had surgical site infections and surgical site occurrences, while 26 laparotomies in regular bite closer group had 15 patients with surgical site infections and surgical site occurrences. There is significant reduction in surgical site infection and surgical site occurrences observed in small bite abdominal closer group. Conclusions: It is recommended all laparotomies elective or emergent should be closed with small bite technique as it reduces surgical site infections and surgical site occurrences. Keywords: Laparotomy closer, Small bite closer, Regular bite closer, Surgical site infection, Surgical site occurrences Department of General Surgery, Bharati Vidyapeeth Deemed to be University Medical College and Hospital, Maharashtra, India Received: 17 November 2021 Revised: 06 December 2021 Accepted: 08 December 2021 *Correspondence: Dr. Chinmay S. Gandhi, E-mail: chinmaygandhi00@yahoo.co.in Copyright:© the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2349-2902.isj20215140