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Neoumbilicus after Selective Excision in Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
- Source :
-
Plastic and reconstructive surgery [Plast Reconstr Surg] 2020 Nov; Vol. 146 (5), pp. 548e-551e. - Publication Year :
- 2020
-
Abstract
- The umbilicus offers no functional importance to the adult human but remains a key aesthetic landmark of the anterior abdominal wall, and its absence can be a cause for concern in aesthetic and reconstructive patients. Umbilical reconstruction or transposition for abdominoplasty and abdominally based flap operations is frequently complicated by umbilical death, infections, development of wounds needing prolonged wound care, and generally poor aesthetic outcomes. A multitude of techniques have been described to create the "ideal" neoumbilicus, but none has proven to be superior to the technique that comes before it. Our data demonstrate that, in a select set of patients, it may be beneficial to electively remove the umbilicus. Thus, umbilical reconstruction can be performed as an adjunct procedure to the primary operation with a superior aesthetic result and minimal risk for complications. This article describes the authors' approach to delayed neoumbilical reconstruction in patients undergoing elective umbilical resection.
- Subjects :
- Abdominal Wall blood supply
Abdominal Wall surgery
Abdominoplasty methods
Adult
Epigastric Arteries transplantation
Female
Free Tissue Flaps adverse effects
Free Tissue Flaps blood supply
Free Tissue Flaps transplantation
Humans
Mammaplasty methods
Perforator Flap adverse effects
Perforator Flap blood supply
Perforator Flap transplantation
Postoperative Complications etiology
Treatment Outcome
Abdominoplasty adverse effects
Esthetics
Mammaplasty adverse effects
Postoperative Complications surgery
Umbilicus surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1529-4242
- Volume :
- 146
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 33136940
- Full Text :
- https://doi.org/10.1097/PRS.0000000000007292