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Monfort abdominoplasty with neoumbilical modification
1Section of Pediatric Urology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
The Journal of Urology
|October 12, 2000
Summary
This study presents a modified Monfort abdominoplasty technique for prune-belly syndrome, creating a neoumbilicus in a normal anatomical position. This approach achieved high patient satisfaction and facilitated other necessary surgical procedures.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Abdominal Wall Reconstruction
Background:
- Monfort abdominoplasty typically places the umbilicus high on the abdominal wall.
- Prune-belly syndrome presents unique challenges for abdominal wall reconstruction.
- Establishing a normal anatomical umbilicus is crucial for aesthetic and functional outcomes.
Purpose of the Study:
- To describe a modified Monfort abdominoplasty technique for prune-belly syndrome.
- To create a neoumbilicus at an anatomically normal position.
- To evaluate the efficacy and patient satisfaction with this modified approach.
Main Methods:
- A modified Monfort abdominal wall reconstruction was performed on five patients.
- A neoumbilicus was created using an island skin flap based on the fascial plate.
- The flap was positioned at the level of the iliac crest for anatomical accuracy.
Main Results:
- All five patients reported high satisfaction with the surgical outcome.
- The neoumbilicus creation was successfully integrated with abdominoplasty.
- Associated procedures, including orchiopexy and ureteral reconstruction, were performed safely and easily.
Conclusions:
- Neoumbilicus construction during Monfort abdominoplasty offers an excellent method for achieving a more normal anatomical result.
- This technique improves aesthetic outcomes in patients with prune-belly syndrome.
- The modified approach is safe and effective, facilitating concurrent reconstructive procedures.