Umbilical Reconstruction Techniques: A Literature Review

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...

Full description

Saved in:
Bibliographic Details
Published in:Aesthetic plastic surgery 2021-06, Vol.45 (3), p.1078-1096
Main Authors: Sisti, Andrea, Huayllani, Maria T., Boczar, Daniel, Restrepo, David J., Cinotto, Gabriela, Lu, Xiaona, Cuomo, Roberto, Grimaldi, Luca, Nisi, Giuseppe, Forte, Antonio J.
Format: Article
Language:English
Subjects:
Abdominoplasty
Child
Humans
Medicine
Medicine & Public Health
Otorhinolaryngology
Plastic Surgery
Review
Surgical Flaps
Surgical techniques
Suture Techniques
Treatment Outcome
Umbilicus - surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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 .
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-020-01989-4