Background: T h e incisions those applied inapproaching those operations , were vertical anteriorabdominal incisions (midline or paramedian), and the waythese incisions were closed, it was either mass or layeredabdominalwall closure and types of suture materials used inthe closure, non - absorbable/absorbable, monofilament (Nylon)/ polyfilament (Vicryl). Objectives: T o stu dy a series of patients those whounderwent vertical incisions, either midline or paramedian andhow t hey were closed, mass or layered closure and suturematerials used inclosing the abdomen and the outcome. Patients and methods: This study is an observationalprospective analytical hospital based study. Conducted atOmdurman Teaching Hospital, Sudan, over one year durationfrom 2012 Sep to 2013 Sep. Included were patients whounderwent vertical anterior abdominal incisions (midline orparamedian) for emergency laparotomy, Non probabilitysampling including patients consecutively. Questionnaireswere used a nd the variables were; demographical patientdata, indications for laparotomy, suture materials used inthese closures, technique of closing the fascial layer and skinand the outcome. Patient consent and ethical clearance wereobtained in advance. Data wa s analyzed using SPSS version20 and the P value was considered significant ifã´€ 0.05.Patients and methods: R e sults: 114 ( 91.9% ) patients underwent midlineincisions and 10(8.1%) patients were paramedian incision.Mass closure were111(89.5%) and layered were13 (10.5%) patients, types of suture materials used in the closuretechnique were non - absorbable polyamide (Nylon)103(83.1%). Delayed absorbable polygactin 910 (Vicryl) 21(19.9%). Sutures size used 2# (106) Nylon 90(87.4%) Vicryl16 (76.2%), 1# (17) Nylon 12(11.7%) - vicryl 5(23.8%) and onlyone 0#(0.8%). Length of hospital stay 5days and less55 (44.4%) patients, >5 - 10 days 52 (41.9%) patients and >10days were 16 (13.7%) p