Figure 6. Case 2: Open skull fracture with exposed brain, major lacerations to the shoulder, right hemithorax and abdomen causing a large right-flank hernia (A) due to an automated trencher accident. Arrows in (A) indicate the thoraco-abdominal penetrating injury, large and deep abdominal subcutaneous laceration, and eviscerated colon and small bowel. A right hemicolectomy with primary anastomosis was performed where (B) shows the right-flank defect hernia (20×15 cm defect), (C) OviTex 1S Resorbable RTM (6-layer, 10×20 cm) used as a sublay repair for the right-flank hernia, (D) open abdomen dressing, and (E) negative-pressure wound therapy and temporary abdominal closure (NPWT/TAC) applied within the open abdomen and the thoraco-abdominal flank incision.