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(A) Entering the primary trocar site with a 5-mm optical trocar; stool is visible in the distant parts of the trocar. (B) The injury is clearly seen after inserting an ancillary trocar in the lower abdomen. It is important to leave the primary trocar in its respective location. (C) After mobilizing the adhesions that fixed the bowel to the abdominal wall, (D) the defect can be demarcated and sutured.
