Emergency abdominal surgeries with primary wound closure show promising results in infection control.

• Surgical site infection rate was 12.6% among 772 patients.
• Emergency laparoscopic surgeries had a significantly lower infection rate (3.0%) compared to open surgery (15.9%).
• Key risk factors included BMI ≥30, peritonitis, stoma formation, and laparotomy.

Surgeons should consider minimally invasive techniques and assess patient risk factors to improve outcomes in this high-stakes setting.