Andrea Sisti1, Maria T Huayllani2, Daniel Boczar3, David J Restrepo4, Gabriela Cinotto2, Xiaona Lu5, Roberto Cuomo6, Luca Grimaldi6, Giuseppe Nisi6, Antonio J Forte7. 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. Hansjörg 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. 7. Division of Plastic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA. ajvforte@yahoo.com.br.
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 .
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 .
Authors: Joseph A Ricci; Parisa Kamali; Babette E Becherer; Daniel Curiel; Winona Wu; Adam M Tobias; Samuel J Lin; Bernard T Lee Journal: J Surg Res Date: 2017-04-20 Impact factor: 2.192
Authors: L Jayyosi; N Boudaoud; O Okiemy; N Correia; E Alanio-Detton; J P Bory; A Liné; M L Poli-Merol; S Mazouz Dorval; C Francois Journal: Ann Chir Plast Esthet Date: 2016-06-08 Impact factor: 0.660