Symmetrical periumbilical extension of a midline incision: a simple technique.

Abstract

Periumbilical extension of midline incision often results in an irregular, unaesthetic scar with beveled edges. An Allis clamp is placed at the lateral margin of the umbilicus with subsequent medial traction. This straightens the proposed periumbilical incision, resulting in a symmetrical scar. We have used this technique extensively over the past several years with excellent results and no adverse sequelae. This simple technique results in the symmetrically curvilinear, nonbeveled periumbilical extension of a midline incision.