A Simple Technique for Neoumbilical Reconstruction for Congenital Hernia Associated Proboscis Deformity
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In brief
In brief
Novel surgical technique for creating a cosmetically appealing neoumbilicus in pediatric patients with large proboscoid redundancy from congenital umbilical hernia. The method uses purse-string approximation of dermal edges to fascia after primary repair, avoiding visible incisions.
Written by the GCMD Library team from the article.
Introduction
Umbilical reconstruction in pediatric patients who have developed a large proboscoid redundancy can be challenging after standard umbilical repair. We present a simple and unique surgical technique that results in a cosmetically appealing reconstruction.
Operative technique
The operation is initiated with circumferential redundant skin excision and isolation of the hernia sac. Primary fascial repair is performed. Reconstruction utilizes the cut dermal/epidermal edge by approximating it to the exposed fascia just below the skin edge outside of the fascial repair in a purse string fashion for the creation of a neoumbilicus.
Conclusion
This simple technique is unique from any currently published methods and results in a cosmetically pleasing reconstruction without evidence of any incision.
Level of evidence
Level V: Expert Opinion.