Umbilical Anatomy and Position

  • David Guarin


The umbilical scar plays an important role in the aesthetics of the abdomen and is a medical landmark for exploration and surgical planning. This chapter describes the basic morphological characteristics of the umbilicus, including the embryological origin, the anatomical characteristics (e.g., vascular supply, drainage, innervation) and explores the discussion surrounding the ideal umbilical position. These points are the basics necessary to understand umbilical reconstruction techniques.


Umbilical anatomy Embryology Umbilical position 


  1. 1.
    Hegazy AA. Anatomy and embryology of umbilicus in newborns: a review and clinical correlations. Front Med. 2016;10(3):271–7.CrossRefGoogle Scholar
  2. 2.
    Sadler TW. Langman’s medical embryology. 13th ed. Baltimore: Williams & Wilkins; 2015.Google Scholar
  3. 3.
    Hegazy AA. Clinical embryology for medical students and postgraduate doctors. Berlin: Lap Lambert Academic Publishing; 2014.Google Scholar
  4. 4.
    Williams AM, Brain JL. The normal position of the umbilicus in the newborn: an aid to improving the cosmetic result in exomphalos major. J Pediatr Surg. 2001;36(7):1045–6.CrossRefGoogle Scholar
  5. 5.
    Visconti G, Salgarello M. The divine proportion “ace of spades” umbilicoplasty: a new method of navel positioning and plasty in abdominoplasty. Ann Plast Surg. 2016;76(3):265–9.CrossRefGoogle Scholar
  6. 6.
    Craig SB, Faller MS, Puckett CL. In search of the ideal female umbilicus. Plast Recontr Surg. 2000;105(1):389–92.CrossRefGoogle Scholar
  7. 7.
    Taylor GI. The angiosomes of the body and their supply to perforator flaps. Clin Plast Surg. 2003;30(3):331–42.CrossRefGoogle Scholar
  8. 8.
    Rohrich RJ, Sorokin ES, Brown SA, Gibby DL. Is the umbilicus truly midline? Clinical and medicolegal implications. Plast Reconstr Surg. 2003;112(1):259–63.CrossRefGoogle Scholar
  9. 9.
    Abhyankar SV, Rajguru AG, Patil PA. Anatomical localization of the umbilicus: an Indian study. Plast Reconstr Surg. 2006;117(4):1153–7.CrossRefGoogle Scholar
  10. 10.
    Duduković M, Kisić H, Baez ML, Bulić K, Veir Z, Cvjetičanin B, et al. Anatomical prediction for surgical positioning of the umbilicus in a white population. Ann Plast Surg. 2014;75(2):135–9.Google Scholar
  11. 11.
    Rodriguez-Feliz JR, Makhijani S, Przybyla A, Hill D, Chao J. Intraoperative assessment of the umbilicopubic distance: a reliable anatomic landmark for transposition of the umbilicus. Aesthetic Plast Surg. 2011;36(1):8–17.CrossRefGoogle Scholar
  12. 12.
    Lee SJ, Garg S, Lee HP. Computer-aided analysis of the “beautiful” umbilicus. Aesthet Surg J. 2014;34(5):748–56.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David Guarin
    • 1
  1. 1.Servicio de Cirugia PlasticaUniversidad de ValleCaliColombia

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