The normal position of the umbilicus in the newborn: An aid to improving the cosmetic result in exomphalos major

Background/Purpose: The aim of this study was to determine the normal posit ion of the umbilicus and hence improve the cosmetic result of exomphalos ma jor repair. Methods: The position of the umbilicus was determined in 50 neonates with r espect to the xiphisternum and pubis, Results: The normal umbilical position is 60% of the way from the inferior border of the xiphisternum to the superior border of the pubis in the midli ne. Conclusion: In the repair of exomphalos major, the most aesthetically pleas ing result is obtained if the umbilicus is placed 60% of the way from the x iphisternum to the pubis. Copyright (C) 2001 by W,B. Saunders Company.