Traditional open surgery is usually performed through a ventral midline incision below the umbilicus. Congenital umbilical hernia is a congenital malformation of the navel (umbilicus). It will contract midline with the umbilicus. Menstrual discharge from the umbilicus is a rare disorder associated with umbilical endometriosis. The umbilicus is used to visually separate the abdomen into quadrants. At about its midpoint sits the umbilicus or navel. Another "gaping laceration" measuring in length ran longitudinally from the umbilicus to the suprapubic region. Hernias may be asymptomatic and present only as a bulge of the umbilicus. Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. The umbilicus is small and shallow, the suture only slightly sinuous. It is estimated to have 80 to 90 ventral grooves that extend past the umbilicus. It is a cyst which occurs in the remnants between the umbilicus and bladder. Determine the direction of flow in the veins below the umbilicus. The name "umbilic" comes from the Latin "umbilicus" - navel. In children, ovarian cysts reaching above the level of the umbilicus are considered giant.