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Related Experiment Video

Updated: Jun 1, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Temporary abdominal closure: long-term outcomes.

Nirav Y Patel1, Thomas H Cogbill, Kara J Kallies

  • 1Department of General and Vascular Surgery, Gundersen Lutheran Medical Foundation, La Crosse, Wisconsin, USA. nypatel@gundluth.org

The Journal of Trauma
|May 26, 2011
PubMed
Summary
This summary is machine-generated.

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Temporary abdominal closure (TAC) is vital for critically ill patients. While 91% achieved fascial closure, TAC was linked to higher rates of abdominal hernias and intestinal obstructions, especially with delayed closure.

Area of Science:

  • Surgical critical care
  • Trauma surgery
  • Abdominal surgery

Background:

  • Temporary abdominal closure (TAC) is a crucial surgical technique for critically ill patients.
  • Understanding long-term complications like hernias and obstructions post-TAC is essential.

Purpose of the Study:

  • To determine the incidence of abdominal wall hernias and intestinal obstructions in patients who underwent TAC.
  • To identify factors associated with these complications.

Main Methods:

  • Retrospective review of 108 patients who underwent TAC between 2000 and 2007.
  • Stratification by TAC technique and indication.
  • Statistical analysis including survival analysis (Kaplan-Meier).

Main Results:

Related Experiment Videos

Last Updated: Jun 1, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

  • Definitive fascial closure was achieved in 91% of patients, with a median closure time of 3 days.
  • Abdominal wall hernias occurred in 30% and intestinal obstructions in 11% of patients.
  • Complications were associated with longer closure times and increased ventilator days, not technique or indication.

Conclusions:

  • Successful definitive fascial closure is achievable in most patients after TAC.
  • Abdominal wall hernias and intestinal obstructions are significant long-term risks associated with TAC.
  • Optimizing closure timing may mitigate these risks.