Neoumbilicoplasty with vertical island pedicle flap for a large pigmented umbilical nevus
Keywords:
belly button, pigmented nevus, reconstructive aesthetic surgery.Abstract
Introduction: The umbilicus is a unique physiologic scar of human body. Its absence leads to an unnatural abdominal appearance and can cause psychological and social complexes.Objective: To present a case of neoumbilicoplasty with vertical island pedicle flap for a large pigmented umbilical nevus.
Clinical case: A healthy 50-year-old female patient with a history of a pigmentated nevus on the umbilicus since childhood that complains of changes in size and color of it. She also referred notice a lump in the upper umbilical region which was an umbilical hernia. The patient underwent an omphalectomy with oncological margins, an umbilical hernia repair and a neoumbilicoplasty with vertical island pedicle flap. Seroma was the only postoperative complication. Aesthetic results were acceptable and satisfied the patient.
Conclusions: This is a rare case not only because the umbilical skin lesions are uncommon but the neoumbilicoplasty technique is rarely used.
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References
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3. Tobler WD Jr, Nicholas KN, De La Cruz C. Spare parts neoumbilicoplasty. Arch Plast Surg. 2019; 46(4):371-4. DOI: 10.5999/aps.2018.00794
4. Das A. Umbilical Lesions: A Cluster of Known Unknowns and Unknown Unknowns. Cureus.2019;11(8):e5309. DOI: 10.7759/cureus.5309
5. Senturk S, Ozkan A, Gemici K, Efe D. The dome procedure: a new technique for the reconstruction of the umbilicus. Hernia. 2016; 20(4):505-8. DOI: 10.1007/s10029-015-1420-3
6. Hespe GE, Stepien DM, Sherif RD, Gilman RH. Umbilicoplasty in Abdominoplasty: Modifications for Improved Aesthetic Results. Aesthetic Surgery Journal Open Forum. 2021; 3(3):ojab025. DOI: 10.1093/asjof/ojab02
7. Kachare S, Kapsalis C, Kachare M, Hiller A, Abell S, Lee TJ, et al. Earplug Umbilicoplasty: A Simple Method to Prevent Umbilical Stenosis in a Tummy Tuck. ePlasty. 2019 [acceso: 22/08/2023]; 19:87-92. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469287/
8. Vergara de la Campa L, Brinca A, Pinho A, Vieira R. Neoumbilicoplastia mediante plastia en isla vertical. Actas Dermo-Sifiliográficas. 2020; 111(10):899-902. DOI: 10.1016/j.ad.2020.02.005
Published
2024-02-28
How to Cite
1.
Borroto MartÃnez K, Durán Marrero K, Muñiz Vigueras JC, RamÃrez Fernández Y. Neoumbilicoplasty with vertical island pedicle flap for a large pigmented umbilical nevus. Rev Cubana Med Milit [Internet]. 2024 Feb. 28 [cited 2025 Jun. 6];53(1):e024025626. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/25626
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