Abstract
We report our experience of umbilical cutaneous “Y-to-V” plasty in surgical hernia repair about the infant and the child in Senegal. The procedure stands for hernia with diameters included in 2–5 cm and a height or cutaneous projection of at least 1.5 cm. The operation starts with pencil drawings and follows a primary incision of the vertical branch of the “Y” and a circular subcutaneous undermining. Then, herniorrhaphy is performed, and umbilical skin excess resected according to lateral twin isosceles triangle flaps, making the “V.” We perform subcutaneous quilting sutures of the umbilical residual flap and intradermal running suture of the wound. Aesthetic variables such as scar quality, shape, and depth of the new umbilical valley, aspects of peripheral landscape, are itemized and analyzed. The authors of this chapter highlight the need for aesthetic surgery together with parietal defect repair and give precise different umbilical cosmetic criteria.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Harouna Y, Gamatie Y, Abarchi H, Bazira L. La hernie ombilicale de l‟enfant africain : aspects cliniques et résultats du traitement à propos de 52 cas. Med Afr Noire Niger. 2001;48:266–9.
Glick P, Pearl R, Irish M, Caty M, Stovroff M. Umbilical problems. In: Pediatric surgery. Philadelphia: Hanley and Belfus Inc; 2001. p. 85–7.
Fargy YF, Beaudoin S. Hernies de l‟enfant. Rev Prat. 1997;47(3):289–94.
Koura A, Ogouyemi A, Hounnou GM, Agossou-Voyeme AK, Goudote E. Les hernies ombilicales étranglées chez l‟enfant au Chu de Cotonou : à propos de 111cas. Med Afr Noire. 1996;43:638–41.
Cannistra C, Marmuse JP, Madelenat P. Hernie ombilicale. Technique nouvelle de réparation avec cicatrice à minima. Gynécologie Obstétrique et Fertilité. 2003;31:471–5.
Sankale AA, Ngom G, Fall I, Coulibaly NF, Ndoye M. Les plasties cutanées ombilicales chez l‟enfant. Étude prospective chez 77 patients. Ann Chir Plast Esthet. 2004;49:17–23.
Blanchard H, St-Vil D, Carceller A, Bensoussan AL, Di Lorenzo M. Repair of the huge umbilical hernia in black children. J Pediatr Surg. 2000;35(5):696–8.
Kajikawa A, Ueda K, Suzuki Y, Ohkouchi M. A new umbilicoplasty for children: creating longitudinal deep umbilical depression. Br J Pediatr Surg Okama. 2004;57:741–8.
Feins NR, Dzakovic A, Papadakis K. Minimal invasive closure of pediatric hernias. J Pediatr Surg Chil. 2008;43:127–30.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Sagna, A., Ly, A., Fall, I. (2017). The “Y- to-V” Plastic Surgery: A Solution of Skin Excess Following Herniorrhaphy of Pedunculated Umbilical Hernia in the Infant and the Child. In: Shiffman, M. (eds) Pediatric Umbilical Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-43890-0_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-43890-0_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43888-7
Online ISBN: 978-3-319-43890-0
eBook Packages: MedicineMedicine (R0)