Introduction: There are two methods to insert a vacuum type drain. The first is to use Drains with sharp trocar attached to the tube which pierces the skin from inside the wound at the desired site and pulls the attached tube out through the stab wound. The surgeon places the inner tube at the required site and detaches the trocar and the drain is secured to the skin with a key stitch. After the wound is closed the scrub person connects the reservoir to which suction may be attached to facilitate wound drainage. Methodology: The patients were treated by Exploratory Laparotomy with parietal drain placement. The skin incision was performed with a scalpel; subcutaneous fat dissected by electro cautery. The surgical instruments were exchanged just before the peritoneal–muscle closure, and the wound was irrigated with 1000 ml of saline solution just before skin closure. The fascia/muscle layer was closed by interrupted VICRYL sutures. A Suction drain (ROMOVAC) of appropriate size was inserted along the entire length of the parietal tissue. The exit of the drain was separate from the main incisions. Results: Acute Appendicitis was the commonest cause of acute abdomen requiring an emergency laparotomy (29%). Duodenal perforation is the second most common cause (22%).Appendicular abscess and mass were the cause in 7% each of the patients respectively. Other causes included acute cholecystitis, Appendicular perforations, gastric perforations, acute diverticulitis, perforated Meckel‟s diverticulum, Obstructed inguinal hernia etc. Conclusion: Incidence of Intervention/Second surgery and deaths in Group 2 is 26% compared to Group 1 which is 14%.Interventions included secondary suturing under local anesthesia and spinal anesthesia, daily dressing till wound healed by secondary intention abdominal wall repair and incisional hernia repair.