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Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap
We propose a neoumbilicoplasty technique that can be applied when the umbilical stalk becomes disrupted during an abdominoplasty. This case used surgical concepts that involved progressive thinning of the flap in a 3-cm radius around the neoumbilicus, with increased thinning toward the neoumbilical...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977961/ https://www.ncbi.nlm.nih.gov/pubmed/29876192 http://dx.doi.org/10.1097/GOX.0000000000001762 |
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author | Tessler, Oren Bourn, Lynn Khoobehi, Kamran Walters, Jules Jansen, David |
author_facet | Tessler, Oren Bourn, Lynn Khoobehi, Kamran Walters, Jules Jansen, David |
author_sort | Tessler, Oren |
collection | PubMed |
description | We propose a neoumbilicoplasty technique that can be applied when the umbilical stalk becomes disrupted during an abdominoplasty. This case used surgical concepts that involved progressive thinning of the flap in a 3-cm radius around the neoumbilicus, with increased thinning toward the neoumbilical position. This was followed with suture tacking of the thinned abdominal flap to create a concavity around the neoumbilicus. A longer “U” shaped incision was created and also sutured down to abdominal wall to recreate an umbilical “floor” with the adjacent skin sutured to the superior-based flap to construct the walls of the neoumbilicus. An aesthetically pleasing umbilicus resulted with high patient satisfaction and a lack of postoperative complications. There were no additional scars extending beyond the umbilical region. |
format | Online Article Text |
id | pubmed-5977961 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-59779612018-06-06 Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap Tessler, Oren Bourn, Lynn Khoobehi, Kamran Walters, Jules Jansen, David Plast Reconstr Surg Glob Open Ideas and Innovations We propose a neoumbilicoplasty technique that can be applied when the umbilical stalk becomes disrupted during an abdominoplasty. This case used surgical concepts that involved progressive thinning of the flap in a 3-cm radius around the neoumbilicus, with increased thinning toward the neoumbilical position. This was followed with suture tacking of the thinned abdominal flap to create a concavity around the neoumbilicus. A longer “U” shaped incision was created and also sutured down to abdominal wall to recreate an umbilical “floor” with the adjacent skin sutured to the superior-based flap to construct the walls of the neoumbilicus. An aesthetically pleasing umbilicus resulted with high patient satisfaction and a lack of postoperative complications. There were no additional scars extending beyond the umbilical region. Wolters Kluwer Health 2018-04-16 /pmc/articles/PMC5977961/ /pubmed/29876192 http://dx.doi.org/10.1097/GOX.0000000000001762 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Ideas and Innovations Tessler, Oren Bourn, Lynn Khoobehi, Kamran Walters, Jules Jansen, David Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title | Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title_full | Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title_fullStr | Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title_full_unstemmed | Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title_short | Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap |
title_sort | neoumbilicoplasty with a superiorly based abdominal skin flap |
topic | Ideas and Innovations |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977961/ https://www.ncbi.nlm.nih.gov/pubmed/29876192 http://dx.doi.org/10.1097/GOX.0000000000001762 |
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