Guerrerosantos J, Dicksheet S, Carrillo C, Sandoval M
Ann Plast Surg. 1980 Aug;5(2):139-44. doi: 10.1097/00000637-198008000-00008.
Umbilical loss is not an uncommon problem following primary abdominoplasty done by an improperly trained surgeon who either sacrificed the umbilicus or lost it through postoperative complications. Deep psychological trauma with mental depression is often the result of such an amputation and is also the main concern of the patient seeking help. There are usually other secondary sequelae, such as residual cutaneous and musculoaponeurotic flaccidity, asymmetrical scarring with dog-ears at either extremity, and fatty bulges that may not bother the patient. In the past, umbilical reconstruction has been handled as an isolated procedure. We have tried to alleviate this condition along with the other residual deformities by doing complete secondary abdominoplasty. Along with the technical details of umbilical reconstruction, 2 such case reports with preoperative and postoperative results are presented.
脐部缺失是由训练不当的外科医生进行初次腹壁成形术后并不罕见的问题，这些医生要么牺牲了脐部，要么因术后并发症导致脐部丢失。这种截肢往往会导致严重的心理创伤和精神抑郁，这也是寻求帮助的患者主要关心的问题。通常还会有其他继发性后遗症，如残留的皮肤和肌肉腱膜松弛、两端有“狗耳”的不对称瘢痕以及脂肪隆起，不过这些可能不会困扰患者。过去，脐部重建一直作为一个单独的手术来处理。我们试图通过进行彻底的二期腹壁成形术来缓解这种情况以及其他残留畸形。除了脐部重建的技术细节外，还展示了2例此类病例报告及术前和术后结果。
