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Abdominal Surgery - Laparoscopic Trocar Placement with Iatrogenic Iliac Artery Injury. Shows the placement of the trocar into the abdomen, in relation to the small bowel (intestine) and spine. An inset describes all the layers of the abdominal wall, including the skin, fat, fascia, muscle, and peritoneum. A separate inset shows the trocar inserted across the abdominal wall and penetrating the iliac artery on the back of the abdomen.