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Umbilical reconstruction using a modified inverted C-V flap with conjoint flaps.
Yoonho Lee1, San Ha Lee, Kevin Volt Woo
1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. lyh2374@snu.ac.kr
Journal of Plastic Surgery and Hand Surgery
|July 9, 2013
Summary
A novel C-V flap technique reconstructs a natural-looking umbilicus after surgery. This method minimizes scarring and improves aesthetic outcomes for patients with abdominal deformities.
Area of Science:
- Plastic Surgery
- Aesthetic Reconstruction
- Abdominal Surgery
Background:
- The umbilicus is a key aesthetic abdominal feature.
- Surgical procedures can lead to umbilical deformities.
- Existing reconstruction methods have limitations.
Observation:
- A 10-year-old boy with an omphalocele repair had a deformed umbilicus.
- Traditional C-V flaps result in long abdominal scars.
- A modified inverted C-V flap with conjoint flaps was developed.
Findings:
- The modified flap reduces the V flap length, minimizing transverse scarring.
- Conjoint flaps allow for rotation to reconstruct the umbilical wall.
- The technique creates a deeper, more natural-looking umbilicus with a sinusoidal pocket.
- No postoperative complications such as flap necrosis or infection were observed.
Implications:
- This technique offers an improved method for umbilical reconstruction.
- It provides superior aesthetic results with reduced scarring.
- The modified flap enhances patient satisfaction with umbilical appearance.