title: Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later.
abstract: Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid umbilical hernia. The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm) and a long caudal (1cm). A classic herniotomy was carried out, with repair of the facial defect. The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia. Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus. The early result was excellent with no complications and the result after 2years revealed a cosmetically satisfactory shape of the umbilicus. this technique provides a good solution for reconstruction of the protruding umbilical skin and it is easy to learn, easy to be taught and perform in surgical environments and may be applicable for any kind of umbilical reconstruction.
authors.affiliation: Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon.
authors.forename: Eseme Ebai
authors.initials: EE
authors.lastname: Ashu
authors.affiliation: Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon ; General Surgery and Orthopedic Surgery in the Faculty and Medicine and Biomedical Sciences University of Yaounde 1, Cameroon.
authors.forename: Guifo Marc
authors.initials: GM
authors.lastname: Leroy
authors.affiliation: Surgeon Departement, Hopital d'Essos (CNPS), Yaoundé, Cameroon.
authors.forename: Bang Guy
authors.initials: BG
authors.lastname: Aristide
authors.affiliation: Yaoundé Emergency Center (CURY), Yaoundé, Cameroun.
authors.forename: Bitang Mafok Louis
authors.initials: BM
authors.lastname: Joss
authors.affiliation: Anesthesiste and Reanimation Department, University Hospital Center, Yaoundé, Cameroon.
authors.forename: Jemea
authors.initials: J
authors.lastname: Bonaventure
authors.affiliation: Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon.
authors.forename: Savom Eric
authors.initials: SE
authors.lastname: Patrick
authors.affiliation: Gynecology and Obstetrics Department, Polyclinique Innova, Yaoundé, Cameroon.
authors.forename: Fotso Guegne
authors.initials: FG
authors.lastname: Myriam
mesh_terms: D002675:Child, Preschool; D005500:Follow-Up Studies; D006554:Hernia, Umbilical / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014472:Umbilicus / Q000601:surgery*
keywords: Double half-cone flap; proboscoid umbilical hernia; umbilicoplasty