Neoumbilicoplasty With a Pedicled Deep Inferior Epigastric Perforator Island Flap

Annals of Plastic Surgery
Matthew A DelMauroPeter T Korn

Abstract

Management of the umbilicus is a common dilemma at the time of abdominoplasty and abdominal wall reconstruction. It is not uncommon for underlying pathologies, such as hernias and surgical scars, to result in a disfigured or obliterated native umbilicus or make the blood supply to the umbilical stalk unreliable. In these scenarios, the umbilicus is often sacrificed. Staged neoumbilical reconstruction may be offered and typically utilizes a small skin flap and full-thickness skin graft (Ann Plast Surg 2009;63:358-360). Our technique, in contrast, permits reconstruction of the neoumbilicus in the immediate setting utilizing normally discarded skin with a robust blood supply from a deep inferior epigastric artery perforator. In this series of 13 consecutive neoumbilicoplasties, the pedicled deep inferior epigastric artery perforator island flap provided reliable results and favorable aesthetic outcomes.

References

Aug 1, 1979·Plastic and Reconstructive Surgery·D B ApfelbergH Lash
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Jan 30, 1999·British Journal of Plastic Surgery·S Choudhary, K O Taams
Sep 1, 1957·American Journal of Surgery·S VERNON
Sep 12, 2009·Annals of Plastic Surgery·Ron HazaniRandall S Feingold
Dec 1, 1978·Aesthetic Plastic Surgery·P Regnault
Dec 10, 2014·Aesthetic Plastic Surgery·Giuseppe ViscontiMarzia Salgarello
Apr 10, 2016·Aesthetic Plastic Surgery·Walter J JosephVishal D Thanik

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