A Case of Immediate Umbilical Reconstruction after Surgical Excision of Keloid / 대한피부과학회지

ABSTRACT

The umbilicus is an important aesthetic component of the abdomen. Surgical procedures for omphalocele, gastroschisis, urachal cyst, and various benign or malignant tumors of the umbilical area can result in the absence of the umbilicus. Loss of the umbilicus can be an embarrassing deformity, and several methods have been used to reconstruct umbilicus, with mixed results. A 66-year-old male presented with a large mass measuring 4 x 4 cm on his umbilicus. The mass, histopathologically confirmed as keloid, developed after moxa cautery 13 years ago. Complete surgical excision resulted in a large defect, and immediate umbilical reconstruction with purse-string suture technique was done. The patient was seen at follow-up 6 months later, and the umbilicus had a satisfactory appearance.