Fig. 8
Five-day-old girl presenting with large irregular protruding sacrococcygeal teratoma. a Patient in the supine position demonstrating the displacement of the anus. b The patient is placed in the prone position at operation. c Modified ‘inverted-Y’ skin closure to accommodate for skin redundancy at the lower end of the wound. d, e The scar at follow-up 6 months and 2.5 years, respectively. Note the less satisfactory cosmesis in this case mainly on the left side. f Plain x-ray of the pelvis demonstrating orthopaedic procedure to manage neglected left congenital hip dysplasia