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KMID : 0602920050110010116
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Journal of the Korean Society of Aesthetic Plastic Surgery
2005 Volume.11 No. 1 p.116 ~ p.119
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Immediate Umbilical Reconstruction after Removal of Umbilicus due to Urachal Cancer: Defatting, Anchoring and Purse-String Suture
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Abstract
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Reconstruction of the umbilicus is not a frequent event. Umbilical restoring should always be aimed at creating an umbilicus of sufficient depth and good morphology(circular and cylinder shape) with less scarring. A wide range of techniques has been described to reconstruct neoumbilicus; nevertheless, a perfect result is difficult to obtain. I provide another alternative to reconstruct the umbilicus using defatting, anchoring and purse-string suture. The important steps are the following; the first step is defatting of 2.0cm umbilicus’ circle. The second step is to umbilical fixation to the fascia wall using anchoring suture. The third step is purse-string suture to decrease new formative umbilicus and to make the circular and cylinder shape umbilicus. The author’s method is a simple, easy and useful technique and renders better aesthetic result. So, I reviewed two cases and discussed the literatures.
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KEYWORD
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Umbilical reconstruction, Urachal cancer, Purse-String suture
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