Symmetrical periumbilical extension of a midline incision: A simple technique

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