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Umbilical Reconstruction for Patients with a Midline Scar

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Abstract

The authors describe an approach to neo-umbilicoplasty for patients with vertical midline scars and those who have undergone extensive tegumental resections after bariatric surgery. Two lateral pedicle flaps sutured to each other are used to shape a cutaneous wall tube in which the inverted end is anchored to the aponeurotic plane. A navel cavity of adequate scoop is shaped with no surrounding scar, in addition to relief of the strain along the vertical scar, which will be less prone to hypertrophy and will have a better cosmetic appearance. This article presents seven cases of umbilical reconstruction using this technique.

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References

  1. Abenavoli FM, Cusano V, Cucchiara V, D’Amico C, Corvelli L: An idea for umbilicus reconstruction. Ann Plast Surg 46:194, 2001

    Article  PubMed  CAS  Google Scholar 

  2. Baack B, Anson G, Nachbar J, White D: Umbilicoplasty: The construction of a new umbilicus and correction of umbilical stenosis without external scars. Plast Reconstr Surg 97:227–232, 1996

    PubMed  CAS  Google Scholar 

  3. Bartsich S, Schwartz M: Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg 112:1652–1655, 2003

    Article  PubMed  Google Scholar 

  4. Breuninger H: Navel reconstruction after umbilical melanoma excision. Eur J Plast Surg 20:325–327, 1997

    Article  Google Scholar 

  5. el-Dessouki NI, Shehata SM, Torki AM, Hashish AA: Double half-cone flap umbilicoplasty: A new technique for the proboscoid umbilical hernia in children. Hernia 8:182–185, 2004

    Article  PubMed  CAS  Google Scholar 

  6. Feyaerts A, Mure PV, Jules JA, Morel-Journel N, Mouriquand P: Umbilical reconstruction in patients with exstrophy: the kangaroo pouch technique. J Urol 165:2026–2027, 2001

    Article  PubMed  CAS  Google Scholar 

  7. Franco T, Franco D: Neoomphaloplasty: An old and new technique. Aesth Plast Surg 23:151–154, 1999

    Article  CAS  Google Scholar 

  8. Iida N, Ohsumi N: Reconstruction of umbilical hypogenesis accompanied by a longitudinal scar. Plast Reconstr Surg 111:322–325, 2003

    Article  PubMed  Google Scholar 

  9. Kajikawa A, Ueda K, Suzuki Y, Ohkouchi M: A new umbilicoplasty for children: Creating a longitudinal deep umbilical umbilical depression. Br J Plast Surg 57:741–748, 2004

    Article  PubMed  CAS  Google Scholar 

  10. Korachi A, Oudit D, Ellabban M: A simplified technique for umbilical reconstruction. Plast Reconstr Surg 114:619–621, 2004

    PubMed  Google Scholar 

  11. Masuda R, Takeda A, Sugimoto T, Ishiguro M, Uchinuma E: Reconstruction of the umbilicus using a reverse fan-shaped flap. Aesth Plast Surg 27:349–353, 2003

    Article  Google Scholar 

  12. Ozbek S, Ozcan M: Umbilicus reconstruction with modified “unfolded cylinder” technique. Br J Plast Surg 58:500–503, 2005

    PubMed  Google Scholar 

  13. Park S, Hata Y, Ito O, Tokioka K, Kagawa K: Umbilical reconstruction after repair of omphalocele and gastroschisis. Plast Reconstr Surg 104:204–207, 1999

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  15. Pinto PA, Stock JÁ, Hanna MK: Results of umbilicoplasty for bladder exstrophy. J Urol 164:2055–2057, 2000

    Article  PubMed  CAS  Google Scholar 

  16. Sankale AA, Ngom G, Fall I, Coulibaly NF, Ndove M: Umbilical reconstruction in children: Prospective report of 77 cases. Ann Chir Plast Esthet 49:17–23, 2004

    Article  PubMed  Google Scholar 

  17. Santanelli F, Mazzocchi M, Renzi L, Cigna E: Scand J Plast Reconst Surg Hand Surg 36:183–185, 2002

    Google Scholar 

  18. Sawada Y: A method of umbilical reconstruction. Eur J Plast Surg 9:75–76, 1986

    Article  Google Scholar 

  19. Sawada Y: An umbilical reconstruction using subcutaneous pedicle flap. Eur J Plast Surg 18:185–187, 1995

    Article  Google Scholar 

  20. Schoeller T, Rainer C, Wechselberger G, Piza-Katzer H: Immediate navel reconstruction after total excision: A simple three-suture technique. Surgery 131:105–107, 2002

    Article  PubMed  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  22. Tamir G, Kurzbart E: Umbilical reconstruction after repair of a large umbilical hernia: The lazy-M and omega flaps. J Pediatr Surg 39:226–228, 2004

    Article  PubMed  Google Scholar 

  23. Yotsuyanagi T, Nikei Y, Sawada Y: A simple technique for reconstruction of the umbilicus, using two twisted flaps. Plast Reconstr Surg 102:2444–2446, 1998

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Plastic Surgery Department, Clementino Fraga Filho University Hospital (HUCFF -UFRJ), Rio de Janeiro, Brazil

    Diogo Franco, João Medeiros, Charles Farias & Talita Franco

  2. Praia de Botafogo, 528, Apto 1304 A, Botafogo, Rio de Janeiro, Brazil, cep 22250-040

    Diogo Franco

Authors
  1. Diogo Franco
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  2. João Medeiros
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  3. Charles Farias
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  4. Talita Franco
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Correspondence to Diogo Franco.

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Franco, D., Medeiros, J., Farias, C. et al. Umbilical Reconstruction for Patients with a Midline Scar. Aesth Plast Surg 30, 595–598 (2006). https://doi.org/10.1007/s00266-006-0114-8

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  • DOI: https://doi.org/10.1007/s00266-006-0114-8

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