Background: Open abdomen treatment (OAT) involves the deliberate decision not to close the fascia at the end of laparotomy. The present study was conducted to assess the factors which were associated with the inability to perform DPFC in patients with OA. Materials & Methods: A retrospective analysis of patients with OA undergoing laparotomy for trauma over the last 2 years was done. In the present study, once OA was made, patients were divided into 2 groups: Group A: Patients with OA in whom fascial closure was not possible and had to be managed with STSG/skin only closure and a planned ventral hernia at a later date and Group B: Patients with OA in whom definitive fascial closure was possible during primary admission (delayed primary fascial closure (DPFC)). Clinical and resuscitative parameters were compared in the above 2 groups. Statistical analysis was performed using the latest SPSS software.