title: Strategies in umbilical reconstruction.
abstract: This article describes two different strategies for umbilical reconstruction. One of the techniques included four skin flaps and was indicated for patients with no vertical scar on the abdomen. This approach was applied in a patient who presented with necrosis of the umbilicus secondary to abdominoplasty. The second technique was indicated for patients who presented with vertical scars. A semilunar skin flap was performed based on the normal skin close to the edge of the vertical scar. A vaginal tampon was used as a dressing in the neoumbilicus for 30 days. Both techniques showed to be effective, with no postoperative complications at the follow-up period.
authors.affiliation: Department of Surgery, Division of Plastic Surgery, Federal University of Sao Paulo, Napoleão de Barros, 715, 04024-002, Sao Paulo, Brazil. drmbarbosa@ig.com.br
authors.forename: Marcus Vinícius Jardini
authors.initials: MV
authors.lastname: Barbosa
authors.forename: Fabio Xerfan
authors.initials: FX
authors.lastname: Nahas
authors.forename: Miguel Angelo
authors.initials: MA
authors.lastname: Sabia Neto
authors.forename: Lydia Masako
authors.initials: LM
authors.lastname: Ferreira
mesh_terms: D000005:Abdomen / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D009336:Necrosis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014472:Umbilicus / Q000473:pathology / Q000601:surgery*