Background: Periumbilical extension of midline incision often results in an irregular, unaesthetic scar with beveled edges.
Technique: 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.
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.