Umbilical Reinsertion in Abdominoplasty: Technique Using Deepithelialized Skin Flaps

Castillo, Paulo; Sepúlveda, Cristián; Prado, Arturo; Troncoso, Antonio; Villamán, Juan J.

doi:10.1007/s00266-006-0225-2

Cited by 26 publications

(9 citation statements)

References 5 publications

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“…Reconstruction of the navel region has been previously reported after surgical excision [13, 14, 15]. However, sometimes it is a difficult procedure to perform because of the wide excision necessary to remove the cancerous material, as was the case with our patient.…”

Section: Discussionmentioning

confidence: 52%

Diagnosis and Management of Primary Umbilical Melanoma with Omphalitis Features

Song¹,

Xu²,

Sun³

et al. 2013

Case Rep Oncol

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We report on a 62-year-old Chinese male patient who presented with a pigmented lesion in the umbilical area and who was treated for omphalitis in a local hospital for 1 month. Biopsy pathological examination revealed that the lesion was a melanoma. The Breslow depth was estimated at 3 mm, and Clark's level was IV. Ultrasonography showed no suspicious pathological lymph nodes, and no metastases were detected in the lung, liver or brain through CT scans. Reexcision was performed with lateral margins >2 cm from the original scar down to the peritoneum, including the umbilicus, round ligament of the liver and urachus. No adjuvant therapy was suggested, and the patient was still alive without recurrences or metastases after 36 months.

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Section: Discussionmentioning

confidence: 52%

Diagnosis and Management of Primary Umbilical Melanoma with Omphalitis Features

Song¹,

Xu²,

Sun³

et al. 2013

Case Rep Oncol

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“…Other techniques described include a “scarless” umbilicoplasty which attempts to hide the scar [11]. Castillo et al [12] described adding a de-epithelialized flap to reinforce the transposed umbilicus using a Y-shaped design. Rozen and Redett [13] described a two-dermal-flap technique.…”

Section: Discussionmentioning

confidence: 99%

Spare parts neoumbilicoplasty

2019

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Umbilical preservation can be challenging, particularly in complex cases involving simultaneous ventral hernia repair and abdominoplasty. Although the umbilicus serves no functional purpose, removal of the umbilicus can draw unwanted attention to the abdominal area and can cause emotional distress to patients. There are several well documented options for umbilical reconstruction. We present a new umbilical reconstruction technique relevant for such cases. This neoumbilicoplasty allows for preservation of the original umbilicus with relocation and reconstruction using local flaps. The technique is relatively simple and the time needed is minimal. The result is a natural, well positioned umbilicus using the principles of spare part surgery.

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“…In 2007, Rozen and Redett [13] described an oval shaped incision after which the de-epithelialized dermal flap was incised along the midline, creating two symmetrical flaps. In the same year, Castillo et al [14] used a Y design, de-epithelializing two bilateral triangular flaps and leaving a superior triangular skin flap to coincide with a triangular superior cut made in the navel. While both methods reported successful results, we did not wish to perform an incision in the umbilical skin as in the method by Castillo et al [14], and decided on an oval incision.…”

Section: Discussionmentioning

confidence: 99%

“…In the same year, Castillo et al [14] used a Y design, de-epithelializing two bilateral triangular flaps and leaving a superior triangular skin flap to coincide with a triangular superior cut made in the navel. While both methods reported successful results, we did not wish to perform an incision in the umbilical skin as in the method by Castillo et al [14], and decided on an oval incision. We also noted that the two symmetrical flaps pulled down by Rozen and Redett [13] resulted in a relatively round navel.…”

Section: Discussionmentioning

confidence: 99%

A New Method of Umbilical Transposition.

Seo

Kim

Han

et al. 2017

Arch Aesthetic Plast Surg

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INTRODUCTIONAn aesthetically ideal umbilicus sits at the center of a depression on the midline of the lower abdomen at, or slightly above the superior level of the iliac crests, has a longer vertical length than width, and a superior hood (the T-shaped umbilicus) [1,2]. This structure, the remnant base of the umbilical cord, lacks any function save for being the aesthetic landmark that defines the medial abdominal sulcus. The navel, or belly button has become a key cosmetic feature in popular culture, and may affect the person's sexuality. An abnormally shaped or misplaced umbilicus will distort the morphology of the abdomen, attract unwanted attention and cause psychological stress to the patient.Various methods that strive to create an aesthetic umbilicus have been described. Early techniques faced problems associated with scar contracture and hypertrophy, which many have tried to overcome with different, angled incisions. Other important aspects include the appropriate location of the umbilicus, which should be centered on a smooth concavity in the center of the abdomen, the size and proportion of width and length, its shape and degree of protrusion or retrusion, and a slight amount of superior hooding.We introduce an easy-to-learn technique that involves three dermal flaps, with which we have experienced satisfactory results. Background Creating a natural-looking umbilicus during closure of the donor-site in abdominally based free flap breast reconstruction is a factor of satisfaction for both the patient and surgeon. We present a simple method of umbilical transposition that results in an aesthetic, natural-looking umbilicus. od. An oval-shaped incision is made at the location of the new umbilicus on the abdominal flap. This oval is deepithelialized, and full-thickness incisions are made at the 2, 6, and 10 o'clock directions to create three triangular dermal flaps. These are pulled down to the abdominal fascia using sutures that pass through the umbilical stalk and the abdominal fascia at the 3, 9, and 12 o'clock directions. This results in an umbilical stalk lined with dermal flaps, creates a natural periumbilical concavity, and anchors the abdominal flap inward to minimize tension. The cranial flap enhances superior hooding. Results Patient and surgeon satisfaction, surveyed 2 months after surgery with a satisfaction scoring system, were higher in the dermal flap group. Conclusions The technique using three dermal flaps in an oval skin incision is simple, relatively easy to learn, and results in an aesthetic, natural-looking umbilicus. METHODS Ethical statement

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Umbilical Reinsertion in Abdominoplasty: Technique Using Deepithelialized Skin Flaps

Abstract: One goal of abdominoplasty is to reestablish a natural-appearing umbilicus with hidden scars. The authors present a new technique for navel reinsertion.

Cited by 26 publications

References 5 publications

Diagnosis and Management of Primary Umbilical Melanoma with Omphalitis Features

Diagnosis and Management of Primary Umbilical Melanoma with Omphalitis Features

Spare parts neoumbilicoplasty

A New Method of Umbilical Transposition.

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