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Double Half-Cone Flap Umbilicoplasty for the Proboscoid Umbilical Hernia in Children

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Pediatric Umbilical Reconstruction

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Abstract

Although many techniques have been described for reconstruction of the protruding umbilicus in children with umbilical hernia, we present a simple new technique for umbilicoplasty. Twenty-four children (14 males and ten females) with umbilical hernias and protruding skin were operated on. Operative description consists of amputation of the protruding umbilical skin, leaving two unequal half cones, a short cephalic half cone (0.5 cm) and a long caudal half cone (1 cm). These two half cones are fashioned, closed, and inverted to constitute the new umbilicus following a classic hernia repair. The results were excellent in all cases with no infection and no ischemic changes encountered in the skin of the reconstructed umbilicus. Follow-up periods between 1 and 12 years revealed a cosmetically pleasing shape of the umbilicus. Only two cases developed hypertrophy of the resulting scar. We present our experience with the new technique. This new technique provides a good solution for reconstruction of the protruding umbilical skin. Our double half-cone flap umbilicoplasty technique is easy to learn and to perform.

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Authors and Affiliations

  1. Section of Pediatric Surgery, Department of Surgery, Tanta University Hospital, ElGeish Street, Tanta, 31111, Egypt

    Sherif M. Shehata C.S.T., M.D., Ph.D., Nagi I. Eldesouki M.D. & Hesham M. Almohamady M.D.

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  1. Sherif M. Shehata C.S.T., M.D., Ph.D.
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  2. Nagi I. Eldesouki M.D.
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  3. Hesham M. Almohamady M.D.
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Correspondence to Sherif M. Shehata C.S.T., M.D., Ph.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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Shehata, S.M., Eldesouki, N.I., Almohamady, H.M. (2017). Double Half-Cone Flap Umbilicoplasty for the Proboscoid Umbilical Hernia in Children. In: Shiffman, M. (eds) Pediatric Umbilical Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-43890-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-43890-0_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43888-7

  • Online ISBN: 978-3-319-43890-0

  • eBook Packages: MedicineMedicine (R0)

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