It's a problem that is pretty easily solved. You appoint an interim leader. Look for someone on the team to step up a bit to assist the substitute.
I had back surgery a decade ago that kept me out of the office for two months. I managed about 30 people at the time in 4-5 groups. My director and his admin took on the administrative stuff, and one of the team leads took over the day to day. I was able to do a call about every other week to go over project items.
I came back, and things went back to normal, the positive benefit is that a couple of previously unrecognized employees got director-level recognition.