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To the Editor.—I have noticed that some general surgeons continue to repair umbilical hernias in young adults through a generous infraumbilical or supraumbilical incision that leaves a prominent surgical scar (Fig 1). Most patients, in my opinion, would prefer to have the skin incision placed completely within an umbilical skin fold; exposure for repair is adequate and the surgical scar is competely concealed (Fig 2).
SHAW A. Umbilical Hernias. Arch Surg. 1980;115(10):1242. doi:10.1001/archsurg.1980.01380100084023
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