Intraoperative photographs of liver vacuum assisted closure (L-VAC) device deployment. (A) The liver injury device was applied to the medial lobe of the right liver, moved laterally by 50% and reapplied creating a Grade V injury. (B) A perforated bowel bag is placed over the injured lobe from lateral to medial. (C) Suction is applied to the device. (D) The abdomen was temporarily closed with an abdominal wound VAC device.