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Introduction to Abnormalities of the Umbilicus in the Infant

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Pediatric Umbilical Reconstruction

Abstract

Initially described is the position of the umbilicus from infancy to puberty. The author discusses umbilical abnormalities in the infant and child including bladder exstrophy, omphalocele, gastroschisis, and urachal pathology including literature review.

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References

  1. Blumberg NA. Infantile umbilical hernia. Surg Gynecol Obstet. 1980;150(2):187–92.

    CAS  PubMed  Google Scholar 

  2. Ricketts RR, Luck SR. Simultaneous umbilicoplasty and closure of small omphaloceles. Surg Gynecol Obstet. 1983;157(6):572–3.

    CAS  PubMed  Google Scholar 

  3. Reyna TM, Hollis Jr HW, Smith SB. Surgical management of proboscoid herniae. J Pediatr Surg. 1987;22(10):911–2.

    Article  CAS  PubMed  Google Scholar 

  4. 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.

    Article  CAS  PubMed  Google Scholar 

  5. Billmire DFA. technique for the repair of giant umbilical hernia in children. J Am Coll Surg. 2002;194(5):677–80.

    Article  PubMed  Google Scholar 

  6. Sankalé AA, Ngom G, Fall I, Coulibaly NF, Ndoye M. Umbilical reconstruction in children. Prospective report of 77 cases. Ann Chir Plast Esthet. 2004;49(1):17–23.

    Article  PubMed  Google Scholar 

  7. Ikeda H, Yamamoto H, Fujino J, Kisaki Y, Uchida H, Ishimaru Y, Hasumi T, Hamajima A. Umbilicoplasty for large protruding umbilicus accompanying umbilical hernia: a simple and effective technique. Pediatr Surg Int. 2004;20(2):105–7.

    Article  PubMed  Google Scholar 

  8. Kajikawa A, Ueda K, Suzuki Y, Ohkouchi M. A new umbilicoplasty for children: creating a longitudinal deep umbilical depression. J Plast Surg. 2004;57(8):741–8.

    Article  CAS  Google Scholar 

  9. Kom AN, Anani MA, Azanledji BM, Komlan A, Komla G, Hubert T. Umbilicoplasty in children with huge umbilical hernia. Afr J Paediatr Surg. 2014;11(3):256–60.

    Article  Google Scholar 

  10. Davari H, Nazem M. The normal position of umbilicus in the newborn: an aid to improve cosmetic result in exomphalos major. J Res Med Sci. 2004;1:34–8.

    Google Scholar 

  11. Williams AM, Brain JL. The normal position of the umbilicus in the newborn: an aid to improving the cosmetic result in exomphalos major. J Pediatr Surg. 2001;36(7):1045–6.

    Article  CAS  PubMed  Google Scholar 

  12. Stiles HJ. Surface and surgical anatomy. In: Robinson A, editor. Cunningham’s textbook of anatomy. New York: William Wood and Company; 1913. p. 1357–467.

    Google Scholar 

  13. Puberty. In: Encyclopedia of Children’s Health http://www.healthofchildren.com/P/Puberty.html#ixzz3lNT2Qz1N. Accessed 11 Sept 2015.

  14. Bladder exstrophy. http://en.wikipedia.org/wiki/Bladder_exstrophy. Accessed 9 Dec 2014.

  15. Hanna MK, Ansong K. Reconstruction of umbilicus in bladder exstrophy. Urology. 1984;24(4):324–6.

    Article  CAS  PubMed  Google Scholar 

  16. Sumfest JM, Mitchell ME. Reconstruction of the umbilicus in exstrophy. J Urol. 1994;151(2):453–4.

    Article  CAS  PubMed  Google Scholar 

  17. Dewan PA. Umbilical transposition in neonates with bladder exstrophy. Br J Urol. 1995;76(6):797–9.

    Article  CAS  PubMed  Google Scholar 

  18. Pinto PA, Stock JA, Hanna MK. Results of umbilicoplasty for bladder exstrophy. J Urol. 2000;164(6):2055–7.

    Article  CAS  PubMed  Google Scholar 

  19. Barroso Jr U, Jednak R, Barthold JS, González R. A technique for constructing an umbilicus and a concealed catheterizable stoma. BJU Int. 2001;87(1):117–20.

    Article  PubMed  Google Scholar 

  20. Feyaerts A, Mure PY, Jules JA, Morel-Journel N, Mouriquand P. Umbilical reconstruction in patients with exstrophy: the kangaroo pouch technique. J Urol. 2001;165(6 Pt 1):2026–7.

    CAS  PubMed  Google Scholar 

  21. Cervellione RM, Kyriazis I, Dickson AP. Construction of a natural looking inverted umbilicus for bladder exstrophy. J Urol. 2008;180(4 Suppl):1869–72.

    Article  PubMed  Google Scholar 

  22. Kureel SN, Rashid KA, Rawat J. Tubularized trapezoid flap neoumbilicoplasty--simple technique for umbilical reconstruction in bladder exstrophy. Urology. 2009;73(1):70–3.

    Article  PubMed  Google Scholar 

  23. Bhatnaqar V. The management of bladder exstrophy: Indian scenario. J Indian Assoc Pediatr Surg. 2011;16(2):43–4.

    Article  Google Scholar 

  24. Kurbet SB, Prashanth GP, Patil MV, Mane S. A retrospective analysis of early experience with modified complete primary repair of exstrophy bladder (CPRE) in neonates and children. Indian J Plast Surg. 2013;46(3):549–54.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Featherstone NC, Cuckow PM. Spiral rotational flap for the creation of a new umbilicus in bladder exstrophy. J Pediatr Urol. 2015;11(2):96–7.

    Article  PubMed  Google Scholar 

  26. Irving IM. Umbilical abnormalities. In: Lister J, Irving IM, editors. Neonatal Surgery. Boston: Butterworth; 1990. p. 376

    Google Scholar 

  27. Exomphalos http://en.wikipedia.org/wiki/Omphalocele. Accessed 8 Dec 14.

  28. Ricketts RR, Luck SR. Simultaneous umbilicoplasty and closure of small omphaloceles. Surg Gynecol Obstet. 1983;157(6):572–3.

    CAS  PubMed  Google Scholar 

  29. Krummel TM, Sieber WK. Closure of congenital abdominal wall defects with umbilicoplasty. Surg Gynecol Obstet. 1987;165(2):168–9.

    CAS  PubMed  Google Scholar 

  30. Park S, Hata Y, Ito O, Tokioka K, Kagawa K. Umbilical reconstruction after repair of omphalocele and gastroschisis. Plast Reconstr Surg. 1999;104(1):204–7.

    Article  CAS  PubMed  Google Scholar 

  31. Frigo E, Rettinger-Schimmerl S, Rokitansky AM. Umbilicoplasty in neonates with primary omphalocele closure. Pediatr Surg Int. 1999;15(7):523–4.

    Article  CAS  PubMed  Google Scholar 

  32. Lee SL, DuBois JJ, Greenholz SK, Huffman SG. Advancement flap umbilicoplasty after abdominal wall closure: postoperative results compared with normal umbilical anatomy. J Pediatr Surg. 2001;36(8):1168–70.

    Article  CAS  PubMed  Google Scholar 

  33. El-Afifi MA. Simultaneous advancement flap umbilicoplasty and omphalocele repair. Egypt J Surg. 2003;22(4):403–6.

    Google Scholar 

  34. Kidd Jr JN, Jackson RJ, Smith SD, Wagner CW. Evolution of staged versus primary closure of gastroschisis. Ann Surg. 2003;237(6):759–65.

    PubMed  PubMed Central  Google Scholar 

  35. Kaneko K, Tsuda M. Four-triangular-skin-flap approach to umbilical diseases and laparoscopic umbilical port. J Pediatr Surg. 2004;39(9):1404–7.

    Article  PubMed  Google Scholar 

  36. Kaneko K, Tsuda M. Four-triangular-skin-flap approach to umbilical diseases and laparoscopic umbilical port. J Pediatr Surg. 2004;39(9):1404–7.

    Article  PubMed  Google Scholar 

  37. Dessy LA, Fallico N, Trignano E, Tarallo M, Mazzocchi M. The double opposing “Y” technique for umbilical reconstruction after omphalectomy. Ann Ital Chir. 2011;82(6):505–10.

    PubMed  Google Scholar 

  38. Kinoshita M, Park S, Shiraishi T, Ueno S. Thoracoabdominoplasty with umbilicoplasty for Cantrell’s syndrome. J Plast Surg Hand Surg. 2012;46(5):367–70.

    Article  PubMed  Google Scholar 

  39. Lee Y, Lee SH, Woo KV. Umbilical reconstruction using a modified inverted C-V flap with conjoint flaps. J Plast Surg Hand Surg. 2013;47(4):334–6.

    Article  PubMed  Google Scholar 

  40. Krummel TM, Sieber WK. Closure of congenital abdominal wall defects with umbilicoplasty. Surg Gynecol Obstet. 1987;165(2):168–9.

    CAS  PubMed  Google Scholar 

  41. Park S, Hata Y, Ito O, Tokioka K, Kagawa K. Umbilical reconstruction after repair of omphalocele and gastroschisis. Plast Reconstr Surg. 1999;104(1):204–7.

    Article  CAS  PubMed  Google Scholar 

  42. Lee SL, DuBois JJ, Greenholz SK, Huffman SG. Advancement flap umbilicoplasty after abdominal wall closure: postoperative results compared with normal umbilical anatomy. J Pediatr Surg. 2001;36(8):1168–70.

    Article  CAS  PubMed  Google Scholar 

  43. Lee Y, Lee SH, Woo KV. Umbilical reconstruction using a modified inverted C-V flap with conjoint flaps. J Plast Surg Hand Surg. 2013;47(4):334–6.

    Article  PubMed  Google Scholar 

  44. Brunicardi FC, Anderson D, Billiar TR, Dunn DL, Hunter JG. Schwartz’s principles of surgery: self-assessment and board review. 8th ed. New York: McGraw Hill; 2006. p. 278.

    Google Scholar 

  45. Gastroschisis. http://en.wikipedia.org/wiki/Gastroschisis. Accessed 26 Apr 2015.

  46. Lee SH, Park KS. A gastroschisis with antenatal evisceration of entire liver, intestine and stomach. Yonsei Med J. 1969;10:196–7.

    Article  CAS  PubMed  Google Scholar 

  47. Harmel Jr RP. Primary repair of gastroschisis with umbilicoplasty. Surg Gynecol Obstet. 1985;160(5):464–5.

    PubMed  Google Scholar 

  48. Krummel TM, Sieber WK. Closure of congenital abdominal wall defects with umbilicoplasty. Surg Gynecol Obstet. 1987;165(2):168–9.

    CAS  PubMed  Google Scholar 

  49. Park S, Hata Y, Ito O, Tokioka K, Kagawa K. Umbilical reconstruction after repair of omphalocele and gastroschisis. Plast Reconstr Surg. 1999;104(1):204–7.

    Article  CAS  PubMed  Google Scholar 

  50. Lee SL, DuBois JJ, Greenholz SK, Huffman SG. Advancement flap umbilicoplasty after abdominal wall closure: postoperative results compared with normal umbilical anatomy. J Pediatr Surg. 2001;36(8):1168–70.

    Article  CAS  PubMed  Google Scholar 

  51. Le T, Bhushan V, Vasan N. First Aid for the USMLE Step 1: 2010 (20th Anniversary ed.). The McGraw-Hill Companies, Inc. New York;2010. p. 122.

    Google Scholar 

  52. Guray A, Sogut A, Ermiş B, Özdemir Ö, Özbey H. Urachal cyst. Eastern J Med. 2000;5(2):76–8.

    Google Scholar 

  53. McCrystal DJ, Ewing MJ, Lambrianides AL. Acquired urachal pathology: presentation of five cases and a review of the literature. ANZ J Surg. 2001;71(12):774–6.

    Article  CAS  PubMed  Google Scholar 

  54. Bartsich SA, Schwartz MH. Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg. 2003;112(6):1652–5.

    Article  PubMed  Google Scholar 

  55. Kaneko K, Tsuda M. Four-triangular-skin-flap approach to umbilical diseases and laparoscopic umbilical port. J Pediatr Surg. 2004;39(9):1404–7.

    Article  PubMed  Google Scholar 

  56. Schaefer IM, Seeliger S, Strauss A, Füzesi L, Ringert RH, Loertzer H. A three-step technique for umbilicoplasty in a patent urachus. BJU Int. 2012;109(4):640–4.

    Article  PubMed  Google Scholar 

  57. Omori M, Hashikawa K, Sakakibara S, Terashi H, Tahara S, Shibaoka Y, Kimura K, Sano K. One-stage umbilicus reconstruction after resection of urachal cyst. Ann Plast Surg. 2013;71(1):93–5.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Melvin A. Shiffman M.D., J.D. .

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Shiffman, M.A. (2017). Introduction to Abnormalities of the Umbilicus in the Infant. In: Shiffman, M. (eds) Pediatric Umbilical Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-43890-0_11

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  • DOI: https://doi.org/10.1007/978-3-319-43890-0_11

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