This chapter discusses the case of a 47-year-old ordnance expert, who was admitted to A&E with an abdominal injury sustained when a cluster bomblet exploded in his hand. Damage control surgery (DCS) was performed with right hemicolectomy, the distal ileum and proximal transverse colon being divided with a linear stapler but not reanastomosed, and left inside the abdomen. Saline lavage and debridement of the entry wound on the anterior abdominal wall completed the procedure and temporary abdominal closure (TAC) was achieved with an Abdo-VAC (KCI) negative-pressure wound therapy (NPWT) dressing. Relaparotomy revealed a clean peritoneal cavity with healthy bowel and no other injuries. A side-to-side stapled ileocolic anastomosis was performed and the midline surgical wound and right-sided traumatic wound were both closed. Early fascial closure prevents morbidity associated with laparostomy and improves overall survival.