Umbilical Reconstruction as an Adjuvant Procedure After Umbilical Hernia Repair or Midline Abdominal Incision
Journal of Surgery
Volume 4, Issue 2-1, March 2016, Pages: 31-35
Received: Oct. 13, 2015;
Accepted: Oct. 14, 2015;
Published: Jan. 27, 2016
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Emad K. Bayumi, Crimean Medical Academy Named After S.I. Georgievsky, Crimean Federal University Named After V.I. Vernadsk, Crimea, Russia
Introduction: Umbilicus construction is usually needed post umbilical or Para umbilical hernia repair and in some techniques the umbilicus needs reconstruction after exploratory laparotomy. There are many techniques for umbilical reconstruction and the common objective of all these techniques is to mention umbilicus that looks natural in terms of location, size and depth. And avoid ischemic necrosis of the edges of the umbilicus flap. The author in this study described a new and simple technique for umbilical reconstruction. Patients and methods: The present study included 50 cases who were subjected to anterior abdominal wall incision (umbilical, Para umbilical or midline incision) Crimean Medical Academy named after S.I. Georgievsky Crimean Federal University named after V.I. Vernadsk Russia in department of general and gastrointestinal surgery. The study started from January 2012 to may 2015. End points: The primary end point of the study was the aesthetic appearance of the new umbilicus and the second end point was patient satisfaction of the operative outcome. Results: Over 50 cases of midline abdominal incision we performed reconstruction of the umbilicus with a new and simple technique. There were 40 females and 10 males with age ranging from 28 to 52 years with the mean value as 40 ± 7.35 years. Conclusion: The technique for reconstruction of the umbilicus presented in the present study is a simple technique without complications, with long term success and good aesthetic appearance. The new constructed umbilicus exhibits appropriate features of both depth and size and avoids the appearance of scarring and secondary stenosis or necrosis.
Emad K. Bayumi,
Umbilical Reconstruction as an Adjuvant Procedure After Umbilical Hernia Repair or Midline Abdominal Incision, Journal of Surgery. Special Issue: Gastrointestinal Surgery: Recent Trends.
Vol. 4, No. 2-1,
2016, pp. 31-35.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Al-shaham AA. Neoumbilicoplasty is a useful adjuvant procedure in Abdominoplasty. Can J Plast Surg. 2009 Winter; 17(4): e20–e23.
Bartsich SA, Schwartz MH. Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg J. 2003; 112: 1652–5.
Santanelli F, Mazzocchi M, Renzi L, Cigna E. Reconstruction of a natural-looking umbilicus. Scand J Plast Reconstr Surg Hand Surg. 2002; 36: 183–5.
Morshed G. A Simple New Technique for Neo-Umbilicoplasty. Med. J. Cairo Univ., 2012, 80(1): 759-761.
Yotsuyanagi T, Nihei Y, Sawada Y. A simple technique for reconstruction of the umbilicus, using two twisted flaps. Plast Reconstr Surg J. 1998; 102: 2444.
Abenavoli FM, Cusano V, Cucchiara V, et al. An idea for umbilicus reconstruction. Ann Plast Surg J.2001; 46: 194.
Iida N, Ohsumi N. Reconstruction of umbilical hypogenesis accompanied by a longitudinal scar. Plast Reconstr Surg 2003; 111: 322–5.
Saber A, Bayumi EK, Onlay versus Sublay Mesh Repair for Ventral Hernia, Journal of Surgery. Special Issue: Abdominal Surgery: Toward the Best. 2016; 4, (1-1): 1-4.
Lee YT, Kwon C, Rhee SC, Cho SH, Eo SR. Four flaps technique for neoumbilicoplasty. Arch Plast Surg. 2015 May; 42(3): 351-5.
Hong YG, Cho JJ. Reconstruction of scarred umbilicus using an inverted c-v flap: a case report. J Korean Soc Plast Reconstr Surg. 2007; 34: 653–655.
Donnabella A. Anatomical reconstruction of the umbilicus. Rev. Bras. Cir. Plást. 2013, 28 (1): Jan./Mar. 119-123.
IIDA N. and OHSUMI N.: Reconstruction of umbilical hypogenesis accompanied by a longitudinal scar. Plast. Reconstr. Surg., 2003; 111: 322-5.
Pfulg M, Van de Sijpe K, Blondeel P. A simple new techniquefor neo-umbilicoplasty. Br J Plast Surg. 2005; 58: 688–691.
Marconi F. Reconstruction of the umbilicus: A simple technique. Plast Reconstr Surg J. 1995; 95: 1115.
Bartsich SA, Schwartz MH. Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg. 2003; 112: 1652–1655.
Kirianoff TG. Making a new umbilicus when none exists. Plast Reconstr Surg J. 1978; 61: 603.
Pardo Mateu L, Chamorro Hernandez JJ. Neoumbilicoplasty Through a Purse-String Suture of Three Defatted Flaps. Aesthetic Plast Surg. 1997 Sep-Oct; 21(5): 349-51.
Bruekers SE1, van der Lei B, Tan TL, Luijendijk RW, Stevens HP. "Scarless" umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature. Ann Plast Surg. 2009 Jul; 63(1): 15-20.
Bayumi EK. Neoumbilical Reconstruction as an Adjuvant Procedure in Abdominoplasty Journal of Surgery2016; 4(1-1): 16-18 Published online September 16, 2015.