Encyclopedia of Trauma Care

2015 Edition
| Editors: Peter J. Papadakos, Mark L. Gestring

Open Abdomen, Temporary Abdominal Closure

  • David S. MorrisEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-642-29613-0_404

Synonyms

Definition

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. 2013). 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...
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References

  1. Kreis BE, de Mol van Otterloo AJ, Kreis RW (2013) Open abdomen management: a review of its history and a proposed management algorithm. Med Sci Monit 19:524–533CrossRefPubMedPubMedCentralGoogle Scholar
  2. Martin MJ, Hatch Q, Cotton B, Holcomb J (2012) The use of temporary abdominal closure in low-risk trauma patients: helpful or harmful? J Trauma Acute Care Surg 72(3):601–606CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Division of Trauma, Critical Care, and General SurgeryMayo ClinicRochesterUSA