The three-point crossover technique for immediate reconstruction of the umbilicus
The umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a nat...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2021-03-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01424 |
| _version_ | 1828365065305194496 |
|---|---|
| author | Cho Long Lee Ho Jik Yang |
| author_facet | Cho Long Lee Ho Jik Yang |
| author_sort | Cho Long Lee |
| collection | DOAJ |
| description | The umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a natural, three-dimensional appearance. We propose a simple method for immediate umbilical reconstruction with good long-term results. This technique was used successfully on a patient who underwent tumor excision. A 49-year-old woman presented with a large mass, measuring 5.8×4.0 cm, on her umbilicus. The mass, an epidermal cyst, developed after laparoscopic uterine myomectomy 5 years earlier. Complete excision of the mass resulted in a large defect, and immediate umbilical reconstruction was planned. Our procedure involved apposing and anchoring two opposing flaps onto the abdominal wall, so that the umbilicus would retain its depth over a long period of time. Negative-pressure wound therapy was applied for 72 hours as a mild compressive dressing. No complications were encountered. The healing process was uneventful and the aesthetic outcome was pleasing; a natural-appearing navel was created. The patient was satisfied with the end result. This technique provides a permanent and sufficient depression for the umbilicus. |
| first_indexed | 2024-04-14T05:25:43Z |
| format | Article |
| id | doaj.art-dfb66d2a351e4cae966d0aec1020cfde |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T05:25:43Z |
| publishDate | 2021-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-dfb66d2a351e4cae966d0aec1020cfde2022-12-22T02:10:00ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-03-01480217517810.5999/aps.2020.014243836The three-point crossover technique for immediate reconstruction of the umbilicusCho Long Lee0Ho Jik Yang1Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, KoreaDepartment of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, KoreaThe umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a natural, three-dimensional appearance. We propose a simple method for immediate umbilical reconstruction with good long-term results. This technique was used successfully on a patient who underwent tumor excision. A 49-year-old woman presented with a large mass, measuring 5.8×4.0 cm, on her umbilicus. The mass, an epidermal cyst, developed after laparoscopic uterine myomectomy 5 years earlier. Complete excision of the mass resulted in a large defect, and immediate umbilical reconstruction was planned. Our procedure involved apposing and anchoring two opposing flaps onto the abdominal wall, so that the umbilicus would retain its depth over a long period of time. Negative-pressure wound therapy was applied for 72 hours as a mild compressive dressing. No complications were encountered. The healing process was uneventful and the aesthetic outcome was pleasing; a natural-appearing navel was created. The patient was satisfied with the end result. This technique provides a permanent and sufficient depression for the umbilicus.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01424abdomenumbilicusflap |
| spellingShingle | Cho Long Lee Ho Jik Yang The three-point crossover technique for immediate reconstruction of the umbilicus Archives of Plastic Surgery abdomen umbilicus flap |
| title | The three-point crossover technique for immediate reconstruction of the umbilicus |
| title_full | The three-point crossover technique for immediate reconstruction of the umbilicus |
| title_fullStr | The three-point crossover technique for immediate reconstruction of the umbilicus |
| title_full_unstemmed | The three-point crossover technique for immediate reconstruction of the umbilicus |
| title_short | The three-point crossover technique for immediate reconstruction of the umbilicus |
| title_sort | three point crossover technique for immediate reconstruction of the umbilicus |
| topic | abdomen umbilicus flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01424 |
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