Background: The debate on closure versus non closure of parietal peritoneum after laparotomy has been going on since ages, 1st dating back to the 1930’s. The aim of this present study is to compare the results of closure versus non closure of parietal peritoneum after laparotomy surgery in terms of post-operative complications. Methods: A total of 100 patients irrespective of sex, were included in this study, who attended the out-patient department of general surgery or casualty of Krishna institute of medical sciences, Karad, from June 2017 to May 2019, requiring laparotomy surgery either on routine basis or as emergency basis. 50 patients were placed in group A, who underwent conventional peritoneal suturing after laparotomy surgery, whereas the other 50 cases were placed in group B, where peritoneum was left unsutured.
Results: 2% patients in each group developed wound dehiscence. Incidence of surgical site infection was 4% in group A and 2% in group B. Incidence of post-operative ileus was comparable in both groups. There was no incidence of faecal fistula in the present study. Incidence of incisional hernia was 2% in each group.
Interpretation and Conclusion: Owing to its tremendous regenerative capacity, and the fact that tensile strength of rectus sheath is far greater than that of the parietal peritoneum, purposeful omission of peritoneal suturing has hardly any drastic consequence on surgical success and results are comparable to that of conventional peritoneal suturing, as demonstrated in this present study.
