Skip to main content
SpringerLink
Log in

History of Umbilical Reconstruction Techniques

  • Chapter
  • First Online:
Adult Umbilical Reconstruction

  • 837 Accesses

Abstract

The techniques in umbilical reconstruction include reinsertion of the stalk after abdominoplasty and the use of various flaps, tissue transfer, and suturing techniques. The author reviews the variety of techniques with detailed references.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Vernon S. Umbilical transplantation upward and abdominal contouring in lipectomy. Am J Surg. 1957;94(3):490–2.

    Article  CAS  PubMed  Google Scholar 

  2. Lopez-Tallaj L, Gervain J. Restaurção umbilical naabdominoplastia: uma simples técnica rectangular. Rev Soc Bras Cir Plast. 2001;16(3):39–46.

    Google Scholar 

  3. Malic CC, Spyrou GE, Hough M, Fourie L. Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg. 2007;119(1):357–61.

    Article  CAS  PubMed  Google Scholar 

  4. Ng JA. Abdominoplastias: neo-onfaloplastiasemcicatriz e semexcisão de gordura. Rev Bras Cir Plast. 2010;25(3):499–503.

    Article  Google Scholar 

  5. Daher JC, Benedik A, CevaFaria CAD, Di Lamartine J, Neto JNR, Cosa OM, Cammarota MC. Umbilicoplastia: experiência com a técnica do minicirculo de pele. Rev Bras Cir Plast. 2011;26(2):302–5.

    Google Scholar 

  6. Baroudi R. Umbilicoplasty. Clin Plast Surg. 1975;2(3):431–85.

    CAS  PubMed  Google Scholar 

  7. Shiffman MA. Reconstruction de l’ombilicdansl’abdominoplastie. Rev Chir Esthet Langue Franc. 1999;25(95):49.

    Google Scholar 

  8. Pallua N, Markowicz MP, Grosse F, Walter S. Aesthetically pleasant umbilicoplasty. Ann Plast Surg. 2010;64(6):722–5.

    Article  CAS  PubMed  Google Scholar 

  9. Lesavoy MA, Fan K, Guenther DA, Herrera F, Little JW. The inverted-v chevron umbilicoplasty for breast reconstruction and abdominoplasty. Aesthet Surg J. 2012;32(1):110–6.

    Article  PubMed  Google Scholar 

  10. Delerm A. Refinements in abdominoplasty with emphasis on reimplantation of the umbilicus. Plast Reconstr Surg. 1982;70(5):632–7.

    Article  CAS  PubMed  Google Scholar 

  11. Se B, van derLei B, Tan TL, Luijendijk RW, Stevens HPJD. “Scarless” umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature. Ann Plast Surg. 2009;63(1):15–20.

    Article  Google Scholar 

  12. Pitanguy I, Radwanski HN. Personal approach to aesthetic abdominal deformities. In: Shiffman MA, Mirrafati S, editors. Aesthetic surgery of the abdominal wall. Berlin: Springer; 2005. p. 102–14.

    Chapter  Google Scholar 

  13. D’Assumpção EA. Técnica para umbilicoplastia, evitando-se un dos principaisestimas das abdominoplastias. Rev Bras Cir Plast. 2005;20(3):160–6.

    Google Scholar 

  14. Rish BB, Prado A. Umbilicoplasty in abdominoplasty: a demonstration. Am J Cosm Surg. 1999;16(4):311–3.

    Article  Google Scholar 

  15. Ramirez OM. Abdominoplasty and abdominal wall rehabilitation: a comprehensive approach. Plast Reconstr Surg. 2000;105(1):425–35.

    Article  CAS  PubMed  Google Scholar 

  16. Regnault P, Daniel RK. Abdominoplasty. In: Regnault P, Daniel RK, editors. Aesthetic plastic surgery: principles and techniques. Boston: Little Brown and Company; 1984. p. 617–54.

    Google Scholar 

  17. Santanelli F, Mazzocchi M, Renzi L, Cigna E. Reconstruction of a natural-looking umbilicus. J Plast Surg Hand Surg. 2013;47(2):155–7.

    Article  PubMed  Google Scholar 

  18. Pitanguy I. Abdominal lipectomy. Clin Plast Surg. 1975;2(3):401–10.

    CAS  PubMed  Google Scholar 

  19. Freeman BS, Wiemer DR. Abdominoplasty with special attention to construction of the umbilicus: technique and complications. Aesthetic Plast Surg. 1978;2(1):65–74. 41.

    Article  CAS  PubMed  Google Scholar 

  20. Matarasso A. Abdominoplasty. In: Guyuron B, editor. Plastic surgery: indications, operations, and outcomes. St. Louis: Mosby; 2000. p. 2783–821.

    Google Scholar 

  21. Lee MJ, Mustoe TA. Simplified technique for creating a youthful umbilicus in abdominoplasty. Plast Reconstr Surg. 2002;109(6):2136–40.

    Article  PubMed  Google Scholar 

  22. Akbaş H, Güneren E, Eroğlu L, Uysal OA. Natural-looking umbilicus as an important part of abdominoplasty. Aesthetic Plast Surg. 2003;27(2):139–42.

    Article  PubMed  Google Scholar 

  23. Aly A, Rotemberg SC, Cram A. Abdominoplasty. In: Guyuron B, Eriksson E, Persing JA, Chung KC, Dis JJ, Gosain AK, Kinney BM, Rubin JP, editors. Plastic surgery: indications and practice. Edinburgh: Saunders Elsevier; 2009. p. 1609–26.

    Chapter  Google Scholar 

  24. Thomas M, DSilva JA, Menon H, Padubidri R. Deciding the position of neoumbilicus in abdominoplasty: a novel idea. Am J Cosm Surg. 2007;24(4):181–2.

    Article  Google Scholar 

  25. Southwell-Keely JP, Berry MG. Umbilical reconstruction: a review of techniques. J Plast Reconstr Aesthet Surg. 2011;64(6):803–8.

    Article  CAS  PubMed  Google Scholar 

  26. Sabatier PH, Barray L, Picaud AJ. Une technique originale de refection de l’ombilic. Ann Chir Plast. 1978;23(4):245–8.

    CAS  PubMed  Google Scholar 

  27. Avelar J. Abdominoplasty-Systematization of a technique without external umbilical scar. Aesthetic Plast Surg. 1978;2(1):141–51.

    Article  CAS  PubMed  Google Scholar 

  28. Jamra FA. Reconstruction of the umbilicus by a double V-Y procedure. Plast Reconstr Surg. 1979;64(1):106–7.

    Article  CAS  PubMed  Google Scholar 

  29. Hodgkinson DJ. Umbilicoplasty: conversion of “outie” to “innie”. Aesthetic Plast Surg. 1983;7(4):221–2.

    Article  CAS  PubMed  Google Scholar 

  30. Ohana J, Illouz YG, Elbaz JS, Flageul G. New approach to abdominal plasties. Technical classification and surgical indications. Progress allowed by liposuction, neo-umbilicoplasty and use of biological glue. Ann Chir Plast Esthet. 1987;32(4):344–53.

    CAS  PubMed  Google Scholar 

  31. Hatoko M, Harashina T. Reconstruction of the umbilicus using a full thickness skin grafting. Jpn J Plast Reconstr Surg. 1989;32:1279–82.

    Google Scholar 

  32. Matsuo K, Kondoh S, Hirose T. A simple technique for reconstruction of the umbilicus, using a conchal cartilage composite graft. Plast Reconstr Surg. 1990;86(1):149–51.

    Article  CAS  PubMed  Google Scholar 

  33. Ribeiro L, Muzy S, Accorsi A. Omphaloplasty. Ann Plast Surg. 1991;27(5):457–75.

    Article  CAS  PubMed  Google Scholar 

  34. Itoh Y, Arai K. Umbilical reconstruction using a cone-shaped flap. Ann Plast Surg. 1992;28(4):335–8.

    Article  CAS  PubMed  Google Scholar 

  35. Miller MJ, Balch CM. “Iris” technique for immediate umbilical reconstruction. Plast Reconstr Surg. 1993;92(4):754–6.

    Article  CAS  PubMed  Google Scholar 

  36. de Lacerda DJ, Martins DM, Marques A, Brenda E, de Moura Andrews J. Umbilicoplasty for the abdomen with a thin adipose layer. Br J Plast Surg. 1994;47(5):386–7.

    Article  PubMed  Google Scholar 

  37. Marconi F. Reconstruction of the umbilicus: a simple technique. Plast Reconstr Surg. 1995;95(6):1115–7.

    Article  CAS  PubMed  Google Scholar 

  38. Sugawara Y, Hirabayashi S, Asato H, Yoshimura K. Reconstruction of the umbilicus using a single triangular flap. Ann Plast Surg. 1995;34(1):78–80.

    Article  CAS  PubMed  Google Scholar 

  39. Sawada Y. An umbilical reconstruction using a subcutaneous pedicle flap. Eur J Plast Surg. 1995;18(4):185–8.

    Article  Google Scholar 

  40. Onishi K, Yang YL, Maruyama Y. A new lunch box-type method in umbilical reconstruction. Ann Plast Surg. 1995;35(6):654–6.

    Article  CAS  PubMed  Google Scholar 

  41. Massiha H, Montegut W, Phillips R. A method of reconstructing a natural-looking umbilicus in abdominoplasty. Ann Plast Surg. 1997;38(3):228–31.

    Article  CAS  PubMed  Google Scholar 

  42. Baack BR, Anson G, Nachbar JM, White DJ. Umbilicoplasty: the construction of a new umbilicus and correction of umbilical stenosis without external scars. Plast Reconstr Surg. 1996;97(1):227–32.

    Article  CAS  PubMed  Google Scholar 

  43. Yotsuyanagi T, Nihei Y, Sawada Y. A simple technique for reconstruction of the umbilicus, using two twisted flaps. Plast Reconstr Surg. 1998;102(7):2444–6.

    Article  CAS  PubMed  Google Scholar 

  44. Schoeller T, Wechselberger G, Otto A, Rainer C, Schwabegger A, Lille S, Ninković M. New technique for scarless umbilical reinsertion in abdominoplasty procedures. Plast Reconstr Surg. 1998;102(5):1720–3.

    Article  CAS  PubMed  Google Scholar 

  45. Cannistrà C, Pecorelli E. Umbilical restoration in abdominal dermolipectomy: a simple double-Y, double M technique. Aesthetic Plast Surg. 1999;23(5):364–6.

    Article  PubMed  Google Scholar 

  46. Shinohara H, Matsuo K, Kikuchi N. Umbilical reconstruction with an inverted C-V flap. Plast Reconstr Surg. 2000;105(2):703–5.

    Article  CAS  PubMed  Google Scholar 

  47. Abenavoli FM, Cusano V, Cucchiara V, D’Amico C, Corvelli L. An idea for umbilicus reconstruction. Ann Plast Surg. 2001;46(2):194.

    Article  CAS  PubMed  Google Scholar 

  48. Schoeller T, Rainer C, Wechselberger G, Piza-Katzer H. Immediate navel reconstruction after total excision: a simple three-suture technique. Surgery. 2002;131(1):105–7.

    Article  PubMed  Google Scholar 

  49. Masuda R, Takeda A, Sugimoto T, Ishiguro M, Uchinuma E. Reconstruction of the umbilicus using a reverse fan-shaped flap. Aesthetic Plast Surg. 2003;27(5):349–53.

    Article  PubMed  Google Scholar 

  50. Meirer R, Wechselberger G, Schoeller T. Purse-string method for immediate umbilical reconstruction. Plast Reconstr Surg. 2004;114(3):831–2.

    Article  PubMed  Google Scholar 

  51. Ozbek S, Ozcan M. Umbilicus reconstruction with modified ‘unfolded cylinder’ technique. Br J Plast Surg. 2005;58(4):500–3.

    Article  PubMed  Google Scholar 

  52. Uraloğlu M, Tekin F, Orbay H, Unlü RE, Sensöz O. Simultaneous abdominoplasty and umbilical reconstruction using a modified C-V flap technique. Plast Reconstr Surg. 2006;117(7):2525–6.

    Article  PubMed  Google Scholar 

  53. Sevin A, Sevin K, Senen D, Erdogan B. A new method for umbilicus reconstruction: preliminary report. Aesthetic Plast Surg. 2006;30(5):589–91.

    Article  PubMed  Google Scholar 

  54. Kakudo N, Kusumoto K, Fujimori S, Shimotsuma A, Ogawa Y. Reconstruction of a natural-appearing umbilicus using an island flap: case report. J Plast Reconstr Aesthet Surg. 2006;59(9):999–1002.

    Article  PubMed  Google Scholar 

  55. Castillo PF, Sepúlveda CA, Prado AC, Troncoso AL, Villamán JJ. Umbilical reinsertion in abdominoplasty: technique using deepithelialized skin flaps. Aesthetic Plast Surg. 2007;31(5):519–20.

    Article  PubMed  Google Scholar 

  56. Rozen SM, Redett R. The two-dermal-flap umbilical transposition: a natural and aesthetic umbilicus after abdominoplasty. Plast Reconstr Surg. 2007;119(7):2255–62.

    Article  CAS  PubMed  Google Scholar 

  57. Rogliani M, Silvi E, Arpino A, Gentile P, Grimaldi M, Cervelli V. The Maltese cross technique: umbilical reconstruction after dermolipectomy. J Plast Reconstr Aesthet Surg. 2007;60(9):1036–8.

    Article  CAS  PubMed  Google Scholar 

  58. Amud RJM. Neo-onfaloplastiasemcicatriz. Rev Bras Cir Plast. 2008;23(1):37–40.

    Google Scholar 

  59. Barbosa MV, Nahas FX, SabiaNeto MA, Ferreira LM. Strategies in umbilical reconstruction. J Plast Reconstr Aesthet Surg. 2009;62(6):e147–50.

    Article  PubMed  Google Scholar 

  60. Takasu H, Watanabe Y. Umbilicoplasty with 3 triangular skin flaps and excised diamond-shaped skin flap. J Pediatr Surg. 2010;45(10):2041–4.

    Article  PubMed  Google Scholar 

  61. Gonçalves de Freitas JO, Guerreiro V, Sperli AE. Neo-onfaloplastiana dermolipectomia abdominal: técnica do duplo “V”. Rev Bras Cir Plást. 2010;25(3):504–8.

    Article  Google Scholar 

  62. Mazzocchi M, Trignano E, Armenti AF, Figus A, Dessy LA. Long-term results of a versatile technique for umbilicoplasty in abdominoplasty. Aesthetic Plast Surg. 2011;35(4):456–62.

    Article  PubMed  Google Scholar 

  63. Cló TC, Nogueira DS. A new umbilical reconstruction technique used for 306 consecutive abdominoplasties. Aesthetic Plast Surg. 2012;36(5):1009–14.

    Article  PubMed  Google Scholar 

  64. Arai K, Yamashita K, Suda T, Ikeda K, Yamauchi M, Yotsuyanagi T. Primary reconstruction of the umbilicus, using two rectangular subcutaneous pedicle flaps. J Plast Reconstr Aesthet Surg. 2012;65(1):132–4.

    Article  PubMed  Google Scholar 

  65. Gera P, Henry G. Double purse string makes a nice umbilical ring: a novel technique for umbilicoplasty. Eur J Pediatr Surg. 2013;23(2):164–6.

    PubMed  Google Scholar 

  66. Donnabella A. Reconstrução anatômica da cicatriz umbilical. Rev Bras Cir Plast. 2013;28(1):119–23.

    Article  Google Scholar 

  67. Morshed G. A simple new technique for neo-umbilicoplasty. Med J Cairo Univ. 2012;80(1):759–61.

    Google Scholar 

  68. Kajikawa A, Ueda K, Suzuki Y, Ohkouchi M. A new umbilicoplasty for children: creating a longitudinal deep umbilical depression. J Plast Surg. 2004;57(8):741–8.

    Article  CAS  Google Scholar 

  69. Kom AN, Anani MA, Azanledji BM, Komlan A, Komla G, Hubert T. Umbilicoplasty in children with huge umbilical hernia. Afr J Paediatr Surg. 2014;11(3):256–60.

    Article  Google Scholar 

  70. Shiffman MA. Umbilical hernia repair with abdominoplasty. Am J Cosm Surg. 2013;30(3):189–92.

    Article  Google Scholar 

  71. Aaronson A: Tummy tuck can also repair your umbilical hernia. http://EzineArticles.com/?expert=A_Aaronson. Accessed 17 June 2011.

  72. Aaronson A. Tummy tuck can also repair your umbilical hernia. http://www.articlesbase.com/diseases-and-conditions-articles/tummy-tuck-can-include-umbilical-hernia-repair-472821.html#ixzz1PjltCfPd Accessed 19 June 2011.

  73. Bruner TW, Salazar-Reyes H, Friedman JD. Umbilical hernia repair in conjunction with abdominoplasty: a novel surgical technique to maintain umbilical blood supply. Aesthet Surg J. 2009;29(4):333–4.

    Article  PubMed  Google Scholar 

  74. Neinstein RM, Matarasso A, Abramson DL. Concomitant abdominoplasty and umbilical hernia repair using the ventralex hernia patch. Plast Reconstr Surg. 2015;135(4):1021–5.

    Article  CAS  PubMed  Google Scholar 

  75. Borges AF. Reconstruction of the umbilicus. Br J Plast Surg. 1975;28(1):75–6.

    Article  CAS  PubMed  Google Scholar 

  76. Apfelberg DB, Maser MR, Lash H. Two unusual umbilicoplasties. Plast Reconstr Surg. 1979;64(2):268–70.

    Article  CAS  PubMed  Google Scholar 

  77. Reyna TM, Hollis Jr HW, Smith SB. Surgical management of proboscoid herniae. J Pediatr Surg. 1987;22(10):911–2.

    Article  CAS  PubMed  Google Scholar 

  78. Blanchard H, St-Vil D, Carceller A, Bensoussan AL, Di Lorenzo M. Repair of the huge umbilical hernia in black children. J Pediatr Surg. 2000;35(5):696–8.

    Article  CAS  PubMed  Google Scholar 

  79. Billmire DF. A technique for the repair of giant umbilical hernia in children. J Am Coll Surg. 2002;194(5):677–80.

    Article  PubMed  Google Scholar 

  80. Tamir G, Kurzbart E. Umbilical reconstruction after repair of large umbilical hernia: the “lazy-M” and omega flaps. J Pediatr Surg. 2004;39(2):226–8.

    Article  PubMed  Google Scholar 

  81. el-Dessouki NI, Shehata SM, Torki AM, Hashish AA. Double half-cone flap umbilicoplasty: a new technique for the proboscoid umbilical hernia in children. Hernia. 2004;8(3):182–5.

    Article  CAS  PubMed  Google Scholar 

  82. Kaneko K, Tsuda M. Four-triangular-skin-flap approach to umbilical diseases and laparoscopic umbilical port. J Pediatr Surg. 2004;39(9):1404–7.

    Article  PubMed  Google Scholar 

  83. Ikeda H, Yamamoto H, Fujino J, Kisaki Y, Uchida H, Ishimaru Y, Hasumi T, Hamajima A. Umbilicoplasty for large protruding umbilicus accompanying umbilical hernia: a simple and effective technique. Pediatr Surg Int. 2004;20(2):105–7.

    Article  PubMed  Google Scholar 

  84. Sankalé AA, Ngom G, Fall I, Coulibaly NF, Ndoye M. Umbilical reconstruction in children. Prospective report of 77 cases. Ann Chir Plast Esthet. 2004;49(1):17–23.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Private Practice, 17501 Chatham Drive, Tustin, CA, 92780-2302, USA

    Melvin A. Shiffman M.D., J.D.

Authors
  1. Melvin A. Shiffman M.D., J.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Melvin A. Shiffman M.D., J.D. .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Shiffman, M.A. (2017). History of Umbilical Reconstruction Techniques. In: Shiffman, M. (eds) Adult Umbilical Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-43887-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43887-0_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43885-6

  • Online ISBN: 978-3-319-43887-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation