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  • 标题:The three-point crossover technique for immediate reconstruction of the umbilicus
  • 本地全文:下载
  • 作者:Cho Long Lee ; Ho Jik Yang
  • 期刊名称:Archives of Plastic Surgery
  • 印刷版ISSN:2234-6163
  • 出版年度:2021
  • 卷号:48
  • 期号:2
  • 页码:175-178
  • DOI:10.5999/aps.2020.01424
  • 出版社:The Korean Society of Plastic and Reconstructive Surgeons
  • 摘要:The umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a natural, three-dimensional appearance. We propose a simple method for immediate umbilical reconstruction with good long-term results. This technique was used successfully on a patient who underwent tumor excision. A 49-year-old woman presented with a large mass, measuring 5.8×4.0 cm, on her umbilicus. The mass, an epidermal cyst, developed after laparoscopic uterine myomectomy 5 years earlier. Complete excision of the mass resulted in a large defect, and immediate umbilical reconstruction was planned. Our procedure involved apposing and anchoring two opposing flaps onto the abdominal wall, so that the umbilicus would retain its depth over a long period of time. Negative-pressure wound therapy was applied for 72 hours as a mild compressive dressing. No complications were encountered. The healing process was uneventful and the aesthetic outcome was pleasing; a natural-appearing navel was created. The patient was satisfied with the end result. This technique provides a permanent and sufficient depression for the umbilicus.
  • 关键词:Abdomen ; Umbilicus ; Flap
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