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中线瘢痕患者的脐部重建术。

Umbilical reconstruction for patients with a midline scar.

作者信息

Franco Diogo, Medeiros João, Farias Charles, Franco Talita

机构信息

Plastic Surgery Department, Clementino Fraga Filho University Hospital (HUCFF-UFRJ), Rio de Janeiro, Brazil.

出版信息

Aesthetic Plast Surg. 2006 Sep-Oct;30(5):595-8. doi: 10.1007/s00266-006-0114-8.

DOI:10.1007/s00266-006-0114-8
PMID:16977366
Abstract

The authors describe an approach to neo-umbilicoplasty for patients with vertical midline scars and those who have undergone extensive tegumental resections after bariatric surgery. Two lateral pedicle flaps sutured to each other are used to shape a cutaneous wall tube in which the inverted end is anchored to the aponeurotic plane. A navel cavity of adequate scoop is shaped with no surrounding scar, in addition to relief of the strain along the vertical scar, which will be less prone to hypertrophy and will have a better cosmetic appearance. This article presents seven cases of umbilical reconstruction using this technique.

摘要

作者描述了一种针对有垂直中线瘢痕的患者以及那些在减肥手术后接受了广泛皮肤切除的患者进行新脐成形术的方法。使用两个相互缝合的外侧带蒂皮瓣来形成一个皮肤壁管,其中倒置的一端固定在腱膜平面上。除了减轻垂直瘢痕处的张力外,还塑造了一个有足够凹陷且无周围瘢痕的脐腔,这样瘢痕将不太容易肥大,并且外观会更好。本文介绍了使用该技术进行脐重建的7个病例。

相似文献

1
Umbilical reconstruction for patients with a midline scar.中线瘢痕患者的脐部重建术。
Aesthetic Plast Surg. 2006 Sep-Oct;30(5):595-8. doi: 10.1007/s00266-006-0114-8.
2
Modified mini-abdominoplasty: navel transposition and horizontal residual scar.
Aesthetic Plast Surg. 2007 Nov-Dec;31(6):663-5. doi: 10.1007/s00266-007-0068-5. Epub 2007 Aug 24.
3
Umbilical reconstruction using a modified inverted C-V flap with conjoint flaps.使用改良倒C-V皮瓣联合皮瓣进行脐再造术。
J Plast Surg Hand Surg. 2013 Sep;47(4):334-6. doi: 10.3109/2000656X.2012.727821. Epub 2013 Jul 8.
4
New umbilicoplasty procedure for postoperative umbilical defect using a rabbit head-shaped scar flap with bilateral subcutaneous pedicles.
Plast Reconstr Surg. 2009 Jun;123(6):1724-1728. doi: 10.1097/PRS.0b013e3181a65a40.
5
Reconstruction of a natural-appearing umbilicus using an island flap: case report.
J Plast Reconstr Aesthet Surg. 2006;59(9):999-1002. doi: 10.1016/j.bjps.2005.12.025. Epub 2006 Mar 24.
6
Inner Scar Umbilicus: New Horizons for Vertical Abdominoplasty.脐内瘢痕:垂直腹部整形术的新视野。
Plast Reconstr Surg. 2018 Apr;141(4):507e-516e. doi: 10.1097/PRS.0000000000004258.
7
Umbilical reconstruction with an inverted C-V flap.
Plast Reconstr Surg. 2000 Feb;105(2):703-5. doi: 10.1097/00006534-200002000-00035.
8
Reconstruction of a natural-looking umbilicus.重建外观自然的肚脐。
Scand J Plast Reconstr Surg Hand Surg. 2002;36(3):183-5. doi: 10.1080/028443102753718096.
9
Umbilical reconstruction: different techniques, a single aim.脐部重建:不同技术,同一目标。
Acta Biomed. 2019 Dec 23;90(4):504-509. doi: 10.23750/abm.v90i4.7539.
10
A simple technique for reconstruction of the umbilicus, using two twisted flaps.
Plast Reconstr Surg. 1998 Dec;102(7):2444-6. doi: 10.1097/00006534-199812000-00028.

引用本文的文献

1
Novel technique and outcomes of umbilical reconstruction during cytoreductive surgery; a multi-centre study.减瘤手术中脐重建的新技术与结果;一项多中心研究。
Tech Coloproctol. 2025 Jan 21;29(1):49. doi: 10.1007/s10151-024-03095-y.
2
Neo-Omphaloplasty within a Vertical Scar: The Double Trapezium Flap Technique.垂直瘢痕内的新脐成形术:双梯形皮瓣技术。
J Clin Med. 2024 Sep 24;13(19):5659. doi: 10.3390/jcm13195659.
3
To Keep or Not to Keep? The Hamletic Umbilical Dilemma: Preservation versus Reconstruction of the Umbilicus in Vertical Abdominoplasty.
留还是不留?哈姆雷特式的脐部困境:垂直腹壁成形术中脐部的保留与重建
J Clin Med. 2022 Dec 22;12(1):78. doi: 10.3390/jcm12010078.
4
Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs.同时使用人工合成补片进行腹壁重建并结合腹壁成形术治疗腹疝和严重腹直肌分离。
Plast Reconstr Surg. 2015 Jan;135(1):268-276. doi: 10.1097/PRS.0000000000000840.