Bogota-VAC – A Newly Modified Temporary Abdominal Closure Technique

Background: We present Bogota-VAC, a newly modi-fied temporary abdominal closure (TAC) technique for open abdomen condition after abdominal compart-ment syndrome (ACS). Methods: A thin isolation bag (Bogota bag) and a vacuum assisted closure (VAC) system were combined. A matching bag was tension-free fixed on the abdominal fascia by fascia suture. A ring shaped black polyurethane foam of the VAC system was placed into the gap between Bogota bag, abdominal fascia and the wound edge. A constant negative topic pressure of 50–75 mmHg was used in the VAC system. Results: Intra-abdominal pressure (IAP: 22 ± 2 mmHg) of four patients with ACS after severe traumatic brai