Neoumbilical Reconstruction as an Adjuvant Procedure in Abdominoplasty

Abstract

Introduction: Neo-umbilicus construction is usually needed post abdominoplasty and in some techniques the umbilicus needs resection after repeated abdominoplasty. There are many techniques for umbilical reconstruction and the common objective of all these techniques is to create a new umbilicus that looks natural in terms of location, size and depth. 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 abdominoplasty and neo-umbilicoplasty in 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 2010 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 abdominoplasty 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.

Umbilical Reconstruction as an Adjuvant Procedure After Umbilical Hernia Repair or Midline Abdominal Incision

“…A new scarlessumbilicoplasty technique, which bears many of the characteristics of an ideal needs; it is easy to perform and results in the complete absence of visible scars and with a preferred vertical orientation [16][17][18]. Also new umbilicus described in my previous study post abdominoplasty and forming new umbilicus but in this study [19]. In this study technique, we performed the neo umbilical construction after making longitudinal incision and triangles to decrease the width of the umbilicus to keep more vascular flap and 3 stitches made dawn surface in the umbilicus make inverted cosmetic umbilicus and the longitudinal incision make easy repair for divarication of recti and also easy access for repair of combined medline hernias of, also no complex flaps or visible scars.…”

Purse String Umbilicoplasty for Repair of Omphalocele Minor with Review of Literature

“…The incidence of Omphalocele is 1 per 5,000 live births; it is defined as congenital midline abdominal wall defect less than 5 cm in diameter, which results in herniation of intra-abdominal contents through the umbilicus [1] (Figureure 1). Umbilicoplasty is required in many conditions such as congenital absence due to bladder exstrophy, gastroschisis, omphalocele, cloacal exstrophy, traumatic umbilical malformation, and after abdominoplasty, breast reconstruction using abdominal tissues, umbilical herniorrhaphy and laparotomy [2]. Herein we described a simple technique for umbilical reconstruction in cases of omphalocele minor that looks natural in terms of location, size and easy to learn for junior surgeon.…”