Background: Periumbilical extension of midline incision often results
in an irregular, unaesthetic scar with beveled edges. Technique: An Al
lis clamp is placed at the lateral margin of the umbilicus with subseq
uent medial traction. This straightens the proposed periumbilical inci
sion, resulting in a symmetrical scar. Experience: We have used this t
echnique extensively over the past several years with excellent result
s and no adverse sequelae. Conclusion: This simple technique results i
n the symmetrically curvilinear, nonbeveled periumbilical extension of
a midline incision. (C) 1998 by The American College of Obstetricians
and Gynecologists.).