Conclusions  This novel surgical technique is feasible and improves cosmetic outcome without additional risk. The advantage of such an approach above and beyond cosmesis remains to be evaluated. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-009-0550-xAuthors S. H. Rahman, Royal Free Hospital Pancreaticobiliary and Minimally Invasive GI Surgery, Centre for HPB Surgery and Liver Transplantation Pond Street London UKB. J. John, Royal Free Hospital Pancreaticobiliary and Minimally Invasive GI Surgery, Centre for HPB Surgery and Liver Transplantation Pond Street London UK Journal HerniaOnline ISSN 1248-9204Print ISSN 1265-4906 (Source: Hernia)