Literature DB >> 25003413

Anatomical Prediction for Surgical Positioning of the Umbilicus in a Croatian Population.

Mladen Duduković1, Hrvoje Kisić, Marcelo Lacayo Baez, Krešimir Bulić, Zoran Veir, Bruno Cvjetičanin, Anto Dujmović, Ivana Stipić, Oliver Šuman, Davor Mijatović.   

Abstract

AIM: The umbilicus is an essential esthetic landmark on the abdominal wall in women and men. There are only few models published for predicting exact localization of the umbilicus. The aim of our study was to develop a mathematical model for predicting correct umbilical positioning in a sample of young women and men and in a sample of middle-aged women. In addition, we wanted to develop a predictive model applicable to both sexes. We applied our models with distinct anthropometric characteristics such as body mass index (BMI) and waist circumference (WC)/hip circumference (HC) to further expand our findings.
METHODS: In this study, 98 Croatian women and men randomly selected from the University of Zagreb and 46 female patients awaiting abdominoplasty procedure at our institution were included. Anthropometric data and measurements between the umbilicus and fixed bony points around the anterior abdomen were collected. The data collected were body mass (BM), body height (BH), BMI, WC and HC, and waist-hip ratios (WHR). All collected data were subjected to standard statistical analyses.
RESULTS: This study developed 2 different regressive equations for the most accurate prediction of exact umbilical localization. In women, the best prediction of the position of the umbilicus was based on the distance from the interanterior hypochondrium line to the umbilicus using the following regressive equation: u-i-hy = BM × 0.5799 + BH × -0.5051 + BMI × -1.8230 + WHR × -10.6364 + 89.6411. In men, the best prediction of the position of the umbilicus was based on the distance from the umbilicus to the interspinous line using the following regressive equation: u-i-is = age × 0.2033 + BM × 0.6445 + BH × -0.5692 + BMI × -2.2802 + WC × -0.0911 + 101.9408.
METHODS: We found that age and anthropometric dimensions have a significant influence on the position of the umbilicus on the anterior abdominal wall. The naturally occurring anthropometric variations between women and men made the results of a unique predictive model for umbilical position inaccurate. We found that using 2 distinct predictive models, 1 for both subgroups of women and 1 for men, generated the most accurate predictive results. This quantitative tool should be applied to both women and men for the correct positioning of the umbilicus in reconstructive and esthetic procedures in which the original umbilical location is affected.

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Year:  2015        PMID: 25003413     DOI: 10.1097/SAP.0000000000000012

Source DB:  PubMed          Journal:  Ann Plast Surg        ISSN: 0148-7043            Impact factor:   1.539


  2 in total

1.  Anthropometric Determinations of Umbilical Position in Iraqi Adults.

Authors:  Mazin Abdulsattar Abdulla; Saja Mahmood Ali Fahad
Journal:  Indian J Plast Surg       Date:  2020-12-26

2.  Positioning the Umbilicus in African Newborns with Large Anterior Abdominal Wall Defects.

Authors:  Olakayode Olaolu Ogundoyin; Dare Isaac Olulana; Taiwo Akeem Lawal
Journal:  J Indian Assoc Pediatr Surg       Date:  2018 Jul-Sep
  2 in total

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