A Novel Technique for Umbilical Reconstruction Using Four Transposition Flaps
Archives of Aesthetic Plastic Surgery
;
: 96-99, 2016.
Article
in English
| WPRIM
| ID: wpr-196652
ABSTRACT
The umbilicus is of paramount aesthetic importance for the abdomen, and its absence can be psychologically distressing to patients for cosmetic reasons. An aesthetically-pleasing umbilicus tends to be small and vertically oriented in nature, with superior hooding and shadow, inferior retraction and slope, and a position at the topmost level of the iliac crest. A 42-year-old woman had undergone delayed breast reconstruction using a transverse rectus abdominis myocutaneous (TRAM) flap. Unfortunately, the patient developed umbilical necrosis following surgery. She underwent complete surgical debridement, which resulted in a large vertical scar. Delayed umbilical reconstruction was performed with four transposition flaps. The patient underwent follow-up at 11 months postoperatively, and the umbilicus had a satisfactory appearance. This case shows that using four transposition flaps can yield sufficient depth and an aesthetically pleasing shape for the umbilicus.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Flaps
/
Umbilicus
/
Follow-Up Studies
/
Cicatrix
/
Mammaplasty
/
Rectus Abdominis
/
Debridement
/
Abdomen
/
Abdominoplasty
/
Necrosis
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2016
Type:
Article
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