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Author Ashu, Eseme Ebai ♦ Leroy, Guifo Marc ♦ Aristide, Bang Guy ♦ Joss, Bitang Mafok Louis ♦ Bonaventure, Jemea ♦ Patrick, Savom Eric ♦ Myriam, Fotso Guegne
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher African Field Epidemiology Network
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human anatomy, cytology, histology ♦ Diseases ♦ Surgery & related medical specialties ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Body Regions ♦ Tissues ♦ Anatomy ♦ Eukaryota ♦ Organisms ♦ Congenital, Hereditary, and Neonatal Diseases and Abnormalities ♦ Diseases ♦ Surgical Procedures, Operative ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons
Subject Keyword Discipline Medicine ♦ Hernia, Umbilical ♦ Surgery ♦ Herniorrhaphy ♦ Methods ♦ Reconstructive Surgical Procedures ♦ Umbilicus ♦ Child, Preschool ♦ Follow-up Studies ♦ Humans ♦ Male ♦ Surgical Flaps ♦ Case Reports ♦ Journal Article
Abstract Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid umbilical hernia. The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm) and a long caudal (1cm). A classic herniotomy was carried out, with repair of the facial defect. The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia. Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus. The early result was excellent with no complications and the result after 2years revealed a cosmetically satisfactory shape of the umbilicus. this technique provides a good solution for reconstruction of the protruding umbilical skin and it is easy to learn, easy to be taught and perform in surgical environments and may be applicable for any kind of umbilical reconstruction.
Description Country affiliation: Cameroon
Author Affiliation: Ashu EE ( Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon.); Leroy GM ( Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon ); Aristide BG ( Surgeon Departement, Hopital d'Essos (CNPS), Yaoundé, Cameroon.); Joss BM ( Yaoundé Emergency Center (CURY), Yaoundé, Cameroun.); Bonaventure J ( Anesthesiste and Reanimation Department, University Hospital Center, Yaoundé, Cameroon.); Patrick SE ( Surgeon Department, University Teaching Hospital Center, Yaoundé, Cameroon.); Myriam FG ( Gynecology and Obstetrics Department, Polyclinique Innova, Yaoundé, Cameroon.)
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article ♦ Case study
Publisher Date 2015-01-01
Publisher Place Uganda
e-ISSN 19378688
Journal Pan African Medical Journal
Volume Number 22


Source: WHO-Global Index Medicus