Fig. 5

The aesthetic outcome of vertical wound closure after sacrococcygeal teratoma excision in five different cases. The upper row (a, b, c, d, and e): different sizes of the tumour at presentation before operation. The lower row (f, g, h, i, and j): the cosmetic outcome several months after operation for the above cases, respectively. Note the relatively small size of the tumour in a and b with a perfect midline hidden scar; while a modified ‘inverted-Y’ skin closure was used for the rest of cases due to major skin involvement. Also, note the scar mark of the tube drain; recently, we have modified this site to be nearer to the upper end of the skin incision to avoid disturbing the buttock contour