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Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later

Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilic...

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Autores principales: Ashu, Eseme Ebai, Leroy, Guifo Marc, Aristide, Bang Guy, Joss, Bitang Mafok Louis, Bonaventure, Jemea, Patrick, Savom Eric, Myriam, Fotso Guegne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662529/
https://www.ncbi.nlm.nih.gov/pubmed/26664545
http://dx.doi.org/10.11604/pamj.2015.22.44.7818
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author Ashu, Eseme Ebai
Leroy, Guifo Marc
Aristide, Bang Guy
Joss, Bitang Mafok Louis
Bonaventure, Jemea
Patrick, Savom Eric
Myriam, Fotso Guegne
author_facet Ashu, Eseme Ebai
Leroy, Guifo Marc
Aristide, Bang Guy
Joss, Bitang Mafok Louis
Bonaventure, Jemea
Patrick, Savom Eric
Myriam, Fotso Guegne
author_sort Ashu, Eseme Ebai
collection PubMed
description Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid umbilical hernia. The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm) and a long caudal (1cm). A classic herniotomy was carried out, with repair of the facial defect. The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia. Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus. The early result was excellent with no complications and the result after 2years revealed a cosmetically satisfactory shape of the umbilicus. this technique provides a good solution for reconstruction of the protruding umbilical skin and it is easy to learn, easy to be taught and perform in surgical environments and may be applicable for any kind of umbilical reconstruction.
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spelling pubmed-46625292015-12-10 Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later Ashu, Eseme Ebai Leroy, Guifo Marc Aristide, Bang Guy Joss, Bitang Mafok Louis Bonaventure, Jemea Patrick, Savom Eric Myriam, Fotso Guegne Pan Afr Med J Case Report Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid umbilical hernia. The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm) and a long caudal (1cm). A classic herniotomy was carried out, with repair of the facial defect. The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia. Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus. The early result was excellent with no complications and the result after 2years revealed a cosmetically satisfactory shape of the umbilicus. this technique provides a good solution for reconstruction of the protruding umbilical skin and it is easy to learn, easy to be taught and perform in surgical environments and may be applicable for any kind of umbilical reconstruction. The African Field Epidemiology Network 2015-09-17 /pmc/articles/PMC4662529/ /pubmed/26664545 http://dx.doi.org/10.11604/pamj.2015.22.44.7818 Text en © Eseme Ebai Ashu et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ashu, Eseme Ebai
Leroy, Guifo Marc
Aristide, Bang Guy
Joss, Bitang Mafok Louis
Bonaventure, Jemea
Patrick, Savom Eric
Myriam, Fotso Guegne
Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title_full Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title_fullStr Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title_full_unstemmed Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title_short Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
title_sort double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662529/
https://www.ncbi.nlm.nih.gov/pubmed/26664545
http://dx.doi.org/10.11604/pamj.2015.22.44.7818
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