temporary abdominal closure
Also written as: TAC
Provisional closure technique used when immediate definitive fascial closure is not feasible or advisable.
Full Definition
A surgical technique employed when primary fascial closure is contraindicated due to abdominal distension, ongoing resuscitation, planned reoperation, or high risk of abdominal compartment syndrome. Methods include vacuum-assisted closure devices, mesh placement, or simple skin closure over bowel. Temporary abdominal closure allows for physiological optimization, repeat exploration, and eventual definitive fascial closure when conditions permit. The approach is commonly used in damage control surgery and critically ill patients.
Usage
Usage note: Specify the method of temporary closure and timeline for definitive management.
In Context
- "Temporary abdominal closure was achieved using a vacuum-assisted closure device due to bowel edema." — General surgery operative report
- "The patient required temporary abdominal closure with planned return for definitive repair in 48 hours." — Trauma surgery progress note