[Strategies for open abdomen].

This is a review of temporary abdominal closure (TAC) strategies are necessary in cases where definitive surgery is not possible. Indications for TAC include damage control due to unstable physiology, the need for a second look, or lacking technical possibility for fascial closure. The superior method of TAC is vacuum-assisted closure (VAC), with or without a traction mesh. All TAC strategies, including VAC, are associated with an increased number of surgical procedures, increased risk of complications, and prolonged length of stay. TAC should be limited to selected patients and performed by senior surgeons.