title: One-stage umbilicus reconstruction after resection of urachal cyst.
abstract: Umbilical reconstruction after total excision of the umbilicus represents a challenging problem for reconstructive surgeons. We describe herein a new method for one-stage umbilical reconstruction after resection of a urachal cyst. This case series included 6 patients, with laparoscopic urachal cyst removal in 5 and conventional transcutaneous surgery in 1. One-stage umbilical reconstruction was performed in all cases. When a conventional transcutaneous approach is indicated, umbilical reconstruction can be undertaken through the same skin incision used for total resection of the urachal cyst. Two triangular flaps were designed just below the umbilical defect. Flaps were rotated 180 degrees and sutured together to form one big triangular flap. This flap was then folded to create the new umbilicus. A deep umbilicus with good shape was constructed in all cases, and all patients were satisfied with the outcome. This method is simple, easy, and produces a natural-looking umbilicus.
authors: Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. omoriprs@gmail.com
authors: Makoto
authors: M
authors: Omori
authors: Kazunobu
authors: K
authors: Hashikawa
authors: Shunsuke
authors: S
authors: Sakakibara
authors: Hiroto
authors: H
authors: Terashi
authors: Shinya
authors: S
authors: Tahara
authors: Yoshie
authors: Y
authors: Shibaoka
authors: Kensaku
authors: K
authors: Kimura
authors: Katsuhiro
authors: K
authors: Sano
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D053441:Suture Anchors; D014472:Umbilicus / Q000601:surgery*; D014496:Urachal Cyst / Q000601:surgery*; D055815:Young Adult