Related Experiment Video
Updated: Jan 4, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
A simple technique for neoumbilical reconstruction for congenital hernia associated proboscis deformity
John P Kuckelman1, Woo S Do1, Mauricio A Escobar1
1Mary Bridge Children's Hospital, Tacoma, WA 98403.
Introduction:
Umbilical reconstruction in pediatric patients who have developed a large proboscoid redundancy can be challenging after standard umbilical repair. We present a simple and unique surgical technique that results in a cosmetically appealing reconstruction.
Operative Technique:
The operation is initiated with circumferential redundant skin excision and isolation of the hernia sac. Primary fascial repair is performed. Reconstruction utilizes the cut dermal/epidermal edge by approximating it to the exposed fascia just below the skin edge outside of the fascial repair in a purse string fashion for the creation of a neoumbilicus.
Conclusion:
This simple technique is unique from any currently published methods and results in a cosmetically pleasing reconstruction without evidence of any incision.
Level Of Evidence:
Level V: Expert Opinion.
