Rozen Shai M, Redett Richard
Dallas, Texas; and Baltimore, Md. From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, and the Division of Plastic Surgery, Johns Hopkins Hospital.
Plast Reconstr Surg. 2007 Jun;119(7):2255-2262. doi: 10.1097/01.prs.0000261037.69256.3e.
The aesthetic and natural appearance of the transposed umbilicus after abdominoplasty is a key factor to the overall result and satisfaction of patient and surgeon alike. In this article, the authors present a technique in umbilical transposition that creates a natural-appearing umbilicus.
The skin in the neoumbilical position is deepithelialized and incised in the midline, thus creating two dermal flaps that are sutured down to the abdominal fascia, thereby creating a natural periumbilical concavity, inconspicuous scars, and a tension-free closure, resulting in a decreased chance for cicatricial umbilical scarring. Twenty patients underwent umbilical transposition during abdominoplasty with this technique between 2003 and 2005.
Both patient and surgeon satisfaction were very high, with three senior surgeons changing their surgical technique after being introduced to that described in this article. One complication culminated in partial skin dehiscence early in our experience when deep dermal sutures were not used for skin closure.
The technique described is simple, safe, and easily learned, and results in a very satisfying aesthetic and natural-appearing umbilicus in patients after abdominoplasty.
腹壁成形术后移位脐部的美观及自然外观是影响患者和外科医生对整体效果满意度的关键因素。在本文中，作者介绍了一种脐部移位技术，可打造出外观自然的脐部。
将新脐位置的皮肤去上皮化并在中线处切开，从而形成两个真皮瓣，将其缝合至腹部筋膜，进而形成自然的脐周凹陷、不明显的瘢痕以及无张力缝合，减少了脐部瘢痕挛缩的几率。2003年至2005年间，20例患者在腹壁成形术中采用该技术进行脐部移位。
患者和外科医生的满意度均很高，三位资深外科医生在了解本文所述技术后改变了他们的手术方法。在我们的经验中，早期有一例并发症最终导致部分皮肤裂开，原因是皮肤缝合时未使用深层真皮缝线。
所描述的技术简单、安全且易于掌握，能使腹壁成形术后患者获得非常令人满意的美观且外观自然的脐部。
