Sensory Innervation of the Female Human Umbilical Skin: Morphological Studies

Eldien, Heba M. Saad; Hussein, Mahmoud R.; El-Oteify, Mahmoud

doi:10.3109/01913123.2011.553351

Cited by 5 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study of innervations of the umbilical skin, authors are quoted to have found epidermal and dermal numerous tactile cells and corpuscles, and abundant end-bulblike genital structures. Nerve bundles were observed together with bulbous and lamellar corpuscles with abundant nerve endings both in the papillary and reticular dermis ( 18 ).…”

Section: Differences In Umbilical and Vaginal Innervationsmentioning

confidence: 99%

Exploring the umbilical and vaginal port during minimal invasive surgery

Tinelli

Tsin

Forgione³

et al. 2017

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

This article focuses on the anatomy, literature, and our own experiences in an effort to assist in the decision-making process of choosing between an umbilical or vaginal port. Umbilical access is more familiar to general surgeons; it is thicker than the transvaginal entry, and has more nerve endings and sensory innervations. This combination increases tissue damage and pain in the umbilical port site. The vaginal route requires prophylactic antibiotics, a Foley catheter, and a period of postoperative sexual abstinence. Removal of large specimens is a challenge in traditional laparoscopy. Recently, there has been increased interest in going beyond traditional laparoscopy by using the navel in single-incision and port-reduction techniques. The benefits for removal of surgical specimens by colpotomy are not new. There is increasing interest in techniques that use vaginotomy in multifunctional ways, as described under the names of culdolaparoscopy, minilaparoscopy-assisted natural orifice surgery, and natural orifice transluminal endoscopic surgery. Both the navel and the transvaginal accesses are safe and convenient to use in the hands of experienced laparoscopic surgeons. The umbilical site has been successfully used in laparoscopy as an entry and extraction port. Vaginal entry and extraction is associated with a lower risk of incisional hernias, less postoperative pain, and excellent cosmetic results.

show abstract

Section: Differences In Umbilical and Vaginal Innervationsmentioning

confidence: 99%

Exploring the umbilical and vaginal port during minimal invasive surgery

Tinelli

Tsin

Forgione³

et al. 2017

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

show abstract

“…[12][13][14] Research has shown that there is relatively dense sensory innervation in the umbilicus, comparable to that in the lips and external genitalia. 15 On the contrary, the TLDG_ P group showed higher NRS scores and more analgesic usage than the TLDG_U group. In the Pfannenstiel incision, innervating nerves of the suprapubic area and lower abdomen, such as branches of the iliohypogastric or ilioinguinal nerves are easily damaged.…”

Section: Discussionmentioning

confidence: 89%

Comparison of Postoperative Pain in Laparoscopy-Assisted Distal Gastrectomy and Totally Laparoscopic Distal Gastrectomy by Location of Mini-Laparotomy Site

Chung

Kim

et al. 2019

J Minim Invasive Surg

View full text Add to dashboard Cite

We aimed to evaluate the clinical outcomes and determine the degree of postoperative pain associated with the location of mini-laparotomy sites in gastric cancer patients who underwent laparoscopic-assisted distal gastrectomy (LADG) or totally laparoscopic distal gastrectomy (TLDG). Methods: Between November 2011 and December 2016, 153 patients who underwent surgery for gastric cancer at Kyung Hee University Hospital at Gangdong were reviewed retrospectively. We divided the patients into LADG with epigastric incision, TLDG with umbilical incision (TLDG_U), and TLDG with Pfannenstiel incision (TLDG_P) groups according to the location of incision for anastomosis and specimen removal. There were 37 cases in the LADG group, 85 in the TLDG_U group, and 31 in the TLDG_P group. The clinical characteristics, numeric rating scale (NRS) scores, and postoperative analgesic usage for 7 days of the three groups were compared. Results: There was no statistically significant difference in clinical characteristics including age, sex, body mass index (BMI), TNM staging, and complications among the three groups. There was no significant difference in the amount of total analgesics received; however, the TLDG_P group received more analgesics (5.26±5.053, p=0.412) during the first 7 postoperative days. The TLDG_P group showed higher NRS scores on postoperative days 0, 2, 3, 4, and 5 (p=0.04, 0.001, 0.003, 0.006, and 0.002 respectively). Conclusion: Laparoscopic distal gastrectomy can be performed through various incision sites for increasing the safety of mini-laparotomy. However, a Pfannenstiel incision was shown to be more painful than other incisions.

show abstract

“…The vaginal nerves are mainly concentrated in the anterior and distal vaginal walls, while the nerves in the posterior vaginal fornix are sparse, and the vaginal nociceptive nerves are not sensitive. The umbilical area has more nerve endings and sensory innervation, which makes it more sensitive than other vaginal areas [19][20][21]. A recent study byYang et al showed no difference in VAS scores between vNOTES hysterectomy and single-port LAVH at 12 and 24 h after surgery 5.…”

mentioning

confidence: 99%

Perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery and transumbilical laparoendoscopic single‐site surgery in hysterectomy: A comparative study

Yuan,

Yang,

Zheng

2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveThis study aimed to compare the perioperative outcomes of patients who underwent hysterectomy for benign gynecologic diseases using transvaginal natural orifice transluminal endoscopic surgery (vNOTES) or transumbilical laparoendoscopic single‐site surgery (TU‐LESS).MethodsA total of 314 patients who underwent hysterectomy for benign uterine disease at West China Second University Hospital between October 2018 and December 2021 were enrolled in this retrospective study. vNOTES (n = 157) and TU‐LESS (n = 157) recipients were matched 1:1 in terms of uterine volume. The operation time, blood loss, postoperative decrease in hemoglobin, uterus weight, postoperative hospital stay, postoperative pain score at 12 h, postoperative indwelling catheter time, and other clinical indicators were compared between the two groups.ResultsAll 314 patients successfully completed the surgery, and the two groups had similar baseline characteristics, with no statistical difference. Regarding intraoperative outcomes, the operation time was shorter in the vNOTES group than in the TU‐LESS group (80 vs 100 min, P = 0.04), and there were no significant differences in intraoperative blood loss, intraoperative blood transfusion rate, postoperative decrease in hemoglobin, or uterine weight. Concerning postoperative outcomes, vNOTES hysterectomy was significantly superior to TU‐LESS hysterectomy in terms of the length of hospital stay (3 vs 4 days, P < 0.001), visual analog scale score for pain at 12 h after surgery (P = 0.04), postoperative indwelling catheter time (39.5 vs 64.0 h, P < 0.001), and postoperative exhaust time (24.0 vs 42.0 h, P < 0.001). There were no significant differences in postoperative complications between the two groups.ConclusionvNOTES and TU‐LESS seem safe and feasible for hysterectomy, but vNOTES hysterectomy was more conducive to the postoperative rehabilitation of patients, with less trauma, less pain, and better cosmetic effects than TU‐LESS hysterectomy. As an emerging surgical approach, more studies, including large‐sample, multicenter, randomized controlled trials, are needed to validate our findings.

show abstract

Sensory Innervation of the Female Human Umbilical Skin: Morphological Studies

Abstract: The umbilical skin of females has abundant sensory innervation similar to that of the glans penis.

Cited by 5 publications

References 27 publications

Exploring the umbilical and vaginal port during minimal invasive surgery

Exploring the umbilical and vaginal port during minimal invasive surgery

Comparison of Postoperative Pain in Laparoscopy-Assisted Distal Gastrectomy and Totally Laparoscopic Distal Gastrectomy by Location of Mini-Laparotomy Site

Perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery and transumbilical laparoendoscopic single‐site surgery in hysterectomy: A comparative study

Contact Info

Product

Resources

About