Grade D | Two alternatives for the trocar placement: two 5-mm working ports in the midline, and in the midway between the camera port and the pubic symphysis. |
Alternatively, the second working trocar (5 or 10 mm) can be placed after lateral dissection approximately 3–4 cm superior and 1–2 cm anterior to the anterosuperior iliac spine. | |
Lateral working trocars are favored when mesh overlap over the midline is perceived to be difficult. |