Umbilical Reconstruction Techniques: A Literature Review
- PDF / 4,598,240 Bytes
- 19 Pages / 595.276 x 790.866 pts Page_size
- 110 Downloads / 188 Views
REVIEW
BODY CONTOURING
Umbilical Reconstruction Techniques: A Literature Review Andrea Sisti1 • Maria T. Huayllani2 • Daniel Boczar3 • David J. Restrepo4 Gabriela Cinotto2 • Xiaona Lu5 • Roberto Cuomo6 • Luca Grimaldi6 • Giuseppe Nisi6 • Antonio J. Forte2
•
Received: 16 August 2020 / Accepted: 19 September 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background There are many instances in which sacrificing the umbilicus is unavoidable. Umbilical reconstruction (umbiliconeoplasty) is an important surgical procedure to complete the abdomen’s reconstruction and to give again a pleasant cosmetic appearance. Objectives To provide a complete overview of all surgical techniques for umbiliconeoplasty described in the literature. Methods PubMed database was queried using ‘umbilical and reconstruction’, ‘umbilicus and reconstruction’, ‘navel and reconstruction’, ‘umbiliconeoplasty’, ‘neo-omphaloplasty’ or ‘umbilicaneoplasty’ to select the papers dealing with the reconstruction of the umbilicus. Results Sixty different techniques for the reconstruction of the missing umbilicus were described in 77 papers. Local skin flaps and the purse-string suture technique were the most frequently described techniques. The Three flaps technique, the Four flaps technique and the 2 Lateral
rectangular pedicle lateral flaps technique were the most popular local flap techniques. Indications ranged from congenital pediatric defects to reconstruction during abdominoplasty. Conclusions Several surgical techniques were described for umbilicus reconstruction. While there is not a universal algorithm for the choice of the technique, the surgeon may decide which technique to use based on other surgeons’ experiences reports. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Umbilical reconstruction Umbiliconeoplasty Neo-omphaloplasty Neoumbilicoplasty
Introduction & Antonio J. Forte [email protected] 1
Division of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA
2
Division of Plastic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA
3
Hansjo¨rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, USA
4
University of Texas Health Science Center at San Antonio (UTHSCSA) General Surgery, San Antonio, TX, USA
5
Division of Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven, CT, USA
6
Division of Plastic and Reconstructive Surgery, Santa Maria alle Scotte Hospital, University of Siena, Siena, Italy
The umbilicus is our first scar, the last remnant of our life in utero [1, 2]. There are many instances in which sacrificing the umbilicus is unavoidable: abdominoplasty performed simultaneously with umbilical or ventral hernia repair, transverse rectus abdominus my
Data Loading...
