Reconstruction technique for umbilical endometriosis.
OBJECTIVE
To present a technique for immediate umbilical reconstruction in women undergoing resection of umbilical endometriosis.


METHODS
Umbilical reconstruction using 2 semicircular defatted skin flaps was performed in 7 patients surgically treated for umbilical endometriosis from October 2000 to June 2004. The patients were followed up for at least 6 months.


RESULTS
Anatomical aspect, depression, and abdominal wall scar were considered satisfactory, although hypertrophic umbilical scars developed in 2 patients.


CONCLUSIONS
This technique using 2 semicircular defatted flaps is efficient in creating a new umbilicus with a natural appearance while leaving a minimal scar. Moreover, it allows for laparoscopic inspection of the abdominal cavity.
Kokuba
E M
EM
Division of Plastic Surgery, Escola Paulista de Medicina/Federal University of São Paulo, São Paulo, Brazil. emkokuba@uol.com.br
Sabino
N M
NM
Sato
H
H
Aihara
A Y
AY
Schor
E
E
Ferreira
L M
LM
D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014472:Umbilicus / Q000601:surgery