Two techniques of creating periumbilical incisions during laparoscopic surgery

Insertion of a periumbilical port is an integral part of laparoscopic surgery. It is often difficult to avoid bevelling of the skin when the semicircular periumbilical incision is made. We used two simple techniques for creating a uniform periumbilical incision. These methods were used in 128 consecutive laparoscopic cholecystectomies without complications. Achieving good cosmetic results is an important aspect of minimal access surgery. The techniques described have been successfully applied to laparoscopic surgery and easily taught to surgical trainees.