The double opposing "Y" technique for umbilical reconstruction after omphalectomy

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Abdominal Surgery

Background:

• Umbilical removal during abdominal surgeries like ventral hernia repair can lead to an unnatural abdominal appearance.
• Umbilical reconstruction (umbilicoplasty) can restore aesthetics, either during the primary surgery or later.
• A previously reported double opposing "Y" incision technique for umbilicoplasty is evaluated for reconstruction after omphalectomy.

Purpose of the Study:

• To evaluate the efficacy and patient satisfaction of the double opposing "Y" umbilicoplasty technique for umbilical reconstruction following omphalectomy.

Main Methods:

• A prospective, open-label study involving 10 patients undergoing double opposed "Y" umbilicoplasty after omphalectomy.
• Postoperative evaluation included patient satisfaction and assessment of the new umbilicus's depth and volume using a modified syringe.
• Statistical comparison of depth variations from 1 month to 1 year post-surgery was performed using the Wilcoxon test.

Main Results:

• Complete healing occurred within 14-21 days in nine patients; one experienced partial wound dehiscence, healing in 4 weeks.
• All patients developed a three-dimensional umbilicus with satisfactory depression, maintaining shape and appearance during 1-4 years of follow-up.
• High patient satisfaction was reported, with no instances of cicatricial umbilical stenosis.

Conclusions:

• The double opposing "Y" technique successfully creates a natural-appearing umbilical scar.
• This technique is easily applicable for umbilical reconstruction after omphalectomy, yielding satisfactory aesthetic outcomes.