Surgical repair of large umbilical hernias may present a challenging surgic
al problem. The currently described surgical techniques often yield disappo
inting results. The authors describe a new technique that allows for the re
pair of the fascial defect and the creation, with the use of a square cutan
eous flap, of a neoumbilicus with sufficient depth and a good cosmetic appe
arance. Copyright (C) 2000 by W.B. Saunders Company.