A Simple Technique for Neoumbilical Reconstruction for Congenital Hernia Associated Proboscis Deformity

Topic overview

Abstract

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.

Keywords

Hashtags