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Secondary trocar placement, left lower abdominal entry. (A) The three plicae are visualized. (B) The palpating finger is showing the area lateral to the lateral umbilical fold. (C) Entry of the sharp ancillary trocar lateral to the lateral umbilical fold. (D) Once the peritoneum has been penetrated, the trocar heads toward the fundus of the uterus and thus avoids injury to the major vessels and the bowel.
