Giant umbilical hernia: "Lazy M-Omega" flap, a case report
Vanesa Villamil1, Oscar Girón Vallejo2, Juana María Sánchez Morote2
1Pediatric Surgery Service, Sant Joan de Déu Children's Hospital, Barcelona, Spain.
The Pan African Medical Journal
|July 21, 2021
Summary
A novel surgical technique, the "Lazy-M and Omega" flap, was used to successfully treat a giant umbilical hernia in a pediatric patient. This simple and reproducible method offers a new option for complex cases.
Area of Science:
- Pediatric Surgery
- Abdominal Wall Reconstruction
Background:
- Umbilical hernias are common in pediatric surgical practice.
- Giant umbilical hernias, or proboscoid hernias, present surgical challenges.
- Standard repair techniques may be insufficient for large defects.
Observation:
- A case report details the surgical intervention of a 20-month-old male with a giant umbilical hernia.
- The patient underwent repair using the novel "Lazy-M and Omega" flap technique.
- This technique was specifically applied to address the major defect characteristic of proboscoid hernias.
Findings:
- The "Lazy-M and Omega" flap technique was successfully employed for giant umbilical hernia repair.
- The case demonstrates the efficacy of this novel approach in a pediatric patient.
- The technique is noted for its simplicity and ease of reproduction.
Implications:
- The "Lazy-M and Omega" flap technique should be considered in the surgical planning for giant umbilical hernias.
- This approach offers a potentially valuable alternative for complex pediatric abdominal wall defects.
- Further studies may validate the broader applicability and long-term outcomes of this surgical innovation.


