Making transverse infraumbilical incision well below the umbilicus while doing open laparoscopy –a new method of making incision for open laparoscopy

Objective: To describe the technique of making transverse infraumbilical incision well below the umbilicus for open laparoscopy and its advantages.
Methods: Usually curvilinear incision is made extremely close to the umbilicus for open laparoscopy. From 12th June 2015 to 12th October 2015, we also made curvilinear incision extremely close to the umbilicus for open laparoscopy while doing laparoscopic operations like laparoscopic appendectomy. But due to the umbilical skin necrosis encountered in the previous technique, from 13th October 2015 we started a new technique by making transverse infraumbilical incision well below the umbilicus for open laparoscopy while doing laparoscopic operations like laparoscopic appendectomy and laparoscopic cholecystectomy.
Results: From12th June 2015 to 12th October 2015, while making curvilinear incision extremely close to the umbilicus for open laparoscopy while doing laparoscopic operations we frequently encountered umbilical skin necrosis and umbilical wound infection. But from 13th October 2015 to18th December 2019 for a period of 4 years and 1 month, while following the new technique of making transverse infraumbilical incision well below the umbilicus for open laparoscopy while doing laparoscopic operations, no patient had umbilical skin necrosis or umbilical wound infection.
Conclusion : Hence the new technique of making transverse infraumbilical incision well below the umbilicus for open laparoscopy while doing laparoscopic operations is extremely useful since it avoids the complications of umbilical skin necrosis and umbilical wound infection.