Temporary abdominal closure (TAC) refers to the various techniques involved in creating a temporary dressing for an open abdomen, usually as part of a damage control operation but also used for other planned reoperations such as for bowel ischemia or peritoneal toilet.
The ideal TAC would be quick to apply, provide some degree of tamponade – especially when packing of solid organ injuries is utilized – protect the viscera, prevent loss of abdominal domain, control intraperitoneal fluid, and allow visualization of the bowel at the bedside (Kreis et al.
). There are several described techniques and devices used to create a TAC, the most common of which will be briefly reviewed here. This is by no means an exhaustive list, and extenuating circumstances often require creative solutions to the problem of the open abdomen. In general application, the technique a surgeon chooses is often dictated by his or her...