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Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up

CONTEXT: An aesthetically acceptable umbilicus is an important component of the body and absent or dysmorphia may lead to psychological discomfort. Therefore reconstruction of neoumbilicus attains importance in abdominal surgical planning. This innovative surgical creation of umbilicus was planned d...

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Autores principales: Khope, Sanjay Suryaji Prabhu, Phaldesai, Neena Vishwajeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6568159/
https://www.ncbi.nlm.nih.gov/pubmed/31258268
http://dx.doi.org/10.4103/jiaps.JIAPS_118_18
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author Khope, Sanjay Suryaji Prabhu
Phaldesai, Neena Vishwajeet
author_facet Khope, Sanjay Suryaji Prabhu
Phaldesai, Neena Vishwajeet
author_sort Khope, Sanjay Suryaji Prabhu
collection PubMed
description CONTEXT: An aesthetically acceptable umbilicus is an important component of the body and absent or dysmorphia may lead to psychological discomfort. Therefore reconstruction of neoumbilicus attains importance in abdominal surgical planning. This innovative surgical creation of umbilicus was planned during the initial surgery of umbilical defects to achieve these goals with minimal scarring. MATERIALS AND METHODS: Our technique was applied to all 26 cases: primary omphalocele repair (n = 5), abdominal wall reconstructions after conservative management of large omphaloceles (n = 17), large umbilical hernias (n = 3), and one case of patent vitelointestinal duct with redundant skin. All patients were followed up yearly for the aesthetic appearance and clinical photographs were recorded. RESULTS: Technique applied to all 26 patients had excellent cosmesis and long term follow up was very encouraging. CONCLUSIONS: All patients had successful abdominal wall closure. Most of the patients had minimal scar of the large hernia repair and the umbilicus was normal looking and well accepted cosmetically.
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spelling pubmed-65681592019-07-01 Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up Khope, Sanjay Suryaji Prabhu Phaldesai, Neena Vishwajeet J Indian Assoc Pediatr Surg Original Article CONTEXT: An aesthetically acceptable umbilicus is an important component of the body and absent or dysmorphia may lead to psychological discomfort. Therefore reconstruction of neoumbilicus attains importance in abdominal surgical planning. This innovative surgical creation of umbilicus was planned during the initial surgery of umbilical defects to achieve these goals with minimal scarring. MATERIALS AND METHODS: Our technique was applied to all 26 cases: primary omphalocele repair (n = 5), abdominal wall reconstructions after conservative management of large omphaloceles (n = 17), large umbilical hernias (n = 3), and one case of patent vitelointestinal duct with redundant skin. All patients were followed up yearly for the aesthetic appearance and clinical photographs were recorded. RESULTS: Technique applied to all 26 patients had excellent cosmesis and long term follow up was very encouraging. CONCLUSIONS: All patients had successful abdominal wall closure. Most of the patients had minimal scar of the large hernia repair and the umbilicus was normal looking and well accepted cosmetically. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6568159/ /pubmed/31258268 http://dx.doi.org/10.4103/jiaps.JIAPS_118_18 Text en Copyright: © 2019 Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Khope, Sanjay Suryaji Prabhu
Phaldesai, Neena Vishwajeet
Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title_full Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title_fullStr Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title_full_unstemmed Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title_short Umbilicoplasty in Neonates with a New Technique: Results of 20-Year Follow-Up
title_sort umbilicoplasty in neonates with a new technique: results of 20-year follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6568159/
https://www.ncbi.nlm.nih.gov/pubmed/31258268
http://dx.doi.org/10.4103/jiaps.JIAPS_118_18
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