a Incision of the premarked infraumbilical flap is done. b The flap is undermined over the rectus and external oblique fascia in the infraumbilical area. c Infraumbilical flap excision. d Dissection above the umbilicus up to xiphoid along the midline is done within a narrow tunnel less than 8 cm wide, just enough to plicate the recti muscles
Dissection above the umbilicus up to the xiphoid along the midline
is done within a narrow tunnel less than 8 cm wide, just
enough to plicate the recti muscles (Fig. 5 ). .
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