Abstract
Prospective randomized controlled study was conducted between October,2015 and September,2017 evaluating midline incision and paramedian incision in case of emergency laparotomies. A total of 60 cases were randomized into two groups of 30 each. Time taken for midline incision opening and closing was less 9.86 min as compared to paramedian incision is 19.08 min. This is due to opening and closure of abdomen in layered manner in paramedian incision. Three cases of burst abdomen were reported in midline incision as compared to one case in paramedian incision. Cases having previous abdominal scar were excluded from the present study. 4 cases of incisional hernia were reported in case of midline incision as compared to one case in paramedian incision.
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