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Reconstruction technique for umbilical endometriosis.
E M Kokuba1, N M Sabino, H Sato
1Division of Plastic Surgery, Escola Paulista de Medicina/Federal University of São Paulo, São Paulo, Brazil. emkokuba@uol.com.br
Summary
This study presents an effective surgical technique for immediate umbilical reconstruction after endometriosis resection. The method creates a natural-looking umbilicus with minimal scarring, aiding patient recovery.
Area of Science:
- Gynecologic Surgery
- Plastic and Reconstructive Surgery
Background:
- Umbilical endometriosis requires surgical resection.
- Reconstruction of the umbilicus is essential for aesthetic and functional outcomes.
Purpose of the Study:
- To describe a technique for immediate umbilical reconstruction.
- To evaluate the efficacy of this technique in patients with umbilical endometriosis.
Main Methods:
- A surgical technique involving 2 semicircular defatted skin flaps was employed.
- The procedure was performed on 7 patients with umbilical endometriosis.
- Follow-up was conducted for at least 6 months post-surgery.
Main Results:
- The anatomical appearance, depression, and abdominal wall scar were generally satisfactory.
- Two patients developed hypertrophic umbilical scars.
- The technique facilitated laparoscopic inspection of the abdominal cavity.
Conclusions:
- The described technique using semicircular defatted flaps is efficient for umbilical reconstruction.
- It yields a new umbilicus with a natural appearance and minimal scarring.
- This method supports laparoscopic surgical approaches.