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The dome procedure: a new technique for the reconstruction of the umbilicus

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Abstract

Purpose

The absence of the umbilicus is, in essence, an aesthetic deformity of the abdominal wall. The goal of reconstructing the umbilicus is to obtain a natural, three-dimensional appearance. In this study, we present a new technique called the “dome procedure” for the reconstruction of the umbilicus.

Methods

This procedure can be applied under local anaesthesia on an outpatient basis and the drawing of the design is simple. The technique was applied to six patients who presented with an absence of the umbilicus following repair of a large incisional and umbilical hernia.

Results

No major or minor complications were encountered. Patient satisfaction was high after surgical intervention.

Conclusions

The dome procedure, which enables the umbilicus to have a natural appearance with sufficient depression and normal-appearing wrinkles, is simple, easy to perform, and safe.

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References

  1. Craig SB, Faller MS, Puckett CL (2000) In search of the ideal female umbilicus. Plast Reconstr Surg 105:389

    Article  CAS  PubMed  Google Scholar 

  2. Choudhary S, Taams KO (1998) Umbilicosculpture: a concept revisited. Br J Plast Surg 51:538

    Article  CAS  PubMed  Google Scholar 

  3. Yotsuyanagi T, Nihei Y, Sawada Y (1998) A simple technique for reconstruction of the umbilicus, using two twisted flaps. Plast Reconstr Surg 102:2444

    Article  CAS  PubMed  Google Scholar 

  4. Sugawara Y, Hirabayashi S, Asato H et al (1995) Reconstruction of the umbilicus using a single triangular flap. Ann Plast Surg 34:78

    Article  CAS  PubMed  Google Scholar 

  5. Hazani R, Israeli R, Feingold RS (2009) Reconstructing a natural looking umbilicus: a new technique. Ann Plast Surg 63:358

    Article  CAS  PubMed  Google Scholar 

  6. Borges AF (1975) Reconstruction of the umbilicus. Br J Plast Surg 28:75

    Article  CAS  PubMed  Google Scholar 

  7. Masuda R, Takeda A, Sugimoto T, Ishiguro M, Uchinuma E (2003) Reconstruction of the umbilicus using a reverse fan-shaped flap. Aesthetic Plast Surg 27:349

    Article  PubMed  Google Scholar 

  8. Bartsich SA, Schwartz MH (2003) Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg 112:1652

    Article  PubMed  Google Scholar 

  9. Itoh Y, Arai K (1992) Umbilical reconstruction using a cone-shaped flap. Ann Plast Surg 28:335

    Article  CAS  PubMed  Google Scholar 

  10. Marconi F (1995) Reconstruction of the umbilicus: a simple technique. Plast Reconstr Surg 95:1115

    Article  CAS  PubMed  Google Scholar 

  11. Ozbek S, Ozcan M (2005) Umbilicus reconstruction with modified ‘unfolded cylinder’ technique. Br J Plast Surg 58:500–503

    Article  PubMed  Google Scholar 

  12. Pfulg M, Van de Sijpe K, Blondeel P (2005) A simple new technique for neo-umbilicoplasty. Br J Plast Surg 58:688–691

    Article  CAS  PubMed  Google Scholar 

  13. Shinohara H, Matsuo K, Kikuchi N (2000) Umbilical reconstruction with an inverted C–V flap. Plast Reconstr Surg 105:703–705

    Article  CAS  PubMed  Google Scholar 

  14. Teixeira Cesar, Nogueira DSC (2012) A new umbilical reconstruction technique used for 306 consecutive abdominoplasties. Aesth Plast Surg 36:1009–1014

    Article  Google Scholar 

  15. Lee Y, Lee SH, Woo KV (2013) Umbilical reconstruction using a modified inverted C-V flap with conjoint flaps. J Plast Surg Hand Surg 47:334–336

    Article  PubMed  Google Scholar 

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Correspondence to S. Şentürk.

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Conflict of interest

SŞ declares no conflict of interest, AÖ declares no conflict of interest, KG declares no conflict of interest and DE declares no conflict of interest.

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Şentürk, S., Özkan, A., Gemici, K. et al. The dome procedure: a new technique for the reconstruction of the umbilicus. Hernia 20, 505–508 (2016). https://doi.org/10.1007/s10029-015-1420-3

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  • DOI: https://doi.org/10.1007/s10029-015-1420-3

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