A simple new technique for neo-umbilicoplasty

Abstract

SummaryThis article describes a new technique for reconstruction of the umbilicus. The technique used simply originated from a few clinical cases in which we were confronted with an absent or destroyed umbilicus. Previously described techniques for neo-umbilicoplasty were unsatisfying or seemed too complex in our hands. We introduce this easy, safe and reproducible technique which in our experience resulted in a very acceptable newly formed umbilicus.

Umbilical laparoscopic scar endometriosis

“…If a wide excision and complete removal of the umbilicus is anticipated, it should be discussed with the patient, and reconstruction of the umbilicus can be offered. [9]…”

Four Flaps Technique for Neoumbilicoplasty

“…In conclusion, the techniques described above are either unsatisfactory or too complex [2,4,11]. In contrast to those methods, we left only minimal scars embedded within the dimple.…”

“…Several studies have suggested various surgical techniques for umbilical reconstruction, such as using diversely shaped local flaps, a suture method, and even cartilage grafts [1][2][3][4][5][6][7]9,11,14]. The local flap techniques, including an inverted C-V flap [3], yield good short-term results, but these techniques have not yet been used in the absence of remaining umbilical tissue.…”

“…Umbilicoplasty is required not only in conditions such as congenital absence due to bladder exstrophy, gastroschisis, omphalocele, and cloacal exstrophy, but also in cases of a protruding umbilicus, traumatic umbilical malformation, and after abdominoplasty, breast reconstruction using abdominal tissues, umbilical herniorrhaphy, and laparotomy. Various methods have been employed in order to reconstruct the umbilicus, including the purse-string method [1], the use of several local flaps [2][3][4][5][6], and the use of an ear conchal cartilage graft [7]. Every method has advantages and disadvantages; however, none of the above methods can guarantee optimal results.…”

Successful three stage repair of a large congenital abdominal region defect

“…The fascia was re-approximated with multiple, interrupted, non-absorbable sutures. Abdominoplasty and umbilicoplasty were performed and the excess skin sent for pathology [5]. The skin and subcutaneous tissue were closed in layers with absorbable sutures (Fig.…”