[Umbilical hernia. New repair technique with a minimal scar].
OBJECTIVE
Describe a surgical technique concerning the treatment of umbilical hernias that have a diameter less than 5 cm, with a reduction of scars.


METHODS
After analysing the different techniques of umbilical hernias repair, the authors suggest a new personal technique. The surgical treatment consists in removing the hernia sack after double M incision of the umbilical skin, repairing the abdominal wall by Quenu technique, folding the abdominal muscles and reconstructing the umbilicus.


RESULTS
The results, which are achieved on nine patients, with check up two years after, confirm the validity of the technique.


CONCLUSIONS
The scars after umbilical hernia surgical treatment are very important and visible because of their being located on the middle line of the abdominal wall. For the female patient in particular, this scar represents a great psychological annoyance. The double M technique leaves only an invisible scar with a good functional result.
Cannistrà
C
C
Unité de chirurgie plastique, CHU Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France. cannistra@abramo.it
Marmuse
J P
JP
Madelenat
P
P
D002921:Cicatrix / Q000517:prevention & control*; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome; D014945:Wound Healing