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. 2013 Oct 11;28(1):2–29. doi: 10.1007/s00464-013-3170-6
Level 2 Visually guided insertion of trocars can minimize the size of the entry wound but does not decrease the incidence of visceral or vascular injury.
Level 4 Placement of trocars is dictated by the size and location of the defect.
Placement of additional trocars may be necessary.