Pediatric Umbilical Reconstruction: Principles and Techniques

Description

The book starts with a short introduction to the topic, followed by a detailed description of the anatomical differences between exstrophy and gastroschisis. In the following chapters, the authors describe the surgical umbilicoplasty for congenital defects in children. Outcomes and complications will be discussed in the last chapter. Written by respected authors, this book will offer residents and fellows as well as practicing and highly experienced plastic surgeons essential guidance on treatment and decision-making concerning umbilical reconstruction. Its numerous illustrations and clearly structured content make the book a must-read.

Table of Contents

1. Part I: Embryology
2. Chapter 1: Embryology of the Umbilicus and Associated Newborn Defects
3. Introduction
4. Embryology
5. Umbilical Granuloma
6. Umbilical Infections
7. Omphalomesenteric and Urachal Remnants
8. Umbilical Hernia
9. Imaging
10. Technique
11. Conclusions
12. Part II: Classification
13. Chapter 2: Classification of Umbilical Hernia
14. Introduction
15. Definitions
16. Classification
17. Classified as Small and Huge
18. According to the Base Diameter of the HUH We Distinguish Three Groups
19. According to the Morphology of the HUH We Distinguish Three Types
20. Discussion
21. Conclusions
22. Part III: Techniques
23. Chapter 3: A New Umbilicoplasty for Children: Creating a Vertically Long and Deep Umbilical Depre
24. Introduction
25. Technique
26. Cases
27. Case 1
28. Case 2
29. Discussion
30. Conclusions
31. Chapter 4: Umbilicoplasty: A Novel Technique
32. Introduction
33. Classification of Umbilical Hernia
34. Exomphalos
35. Large Umbilical Hernia
36. Exomphalos Minor
37. Chapter 5: The “Y- to-V” Plastic Surgery: A Solution of Skin Excess Following Herniorrhaphy of
38. Introduction
39. Technique
40. Discussion
41. Conclusions
42. Chapter 6: Umbilicoplasty in Children with Huge Umbilical Hernia
43. Introduction
44. Technique
45. Results
46. Discussion
47. Conclusions
48. Chapter 7: Double Half-Cone Flap Umbilicoplasty for the Proboscoid Umbilical Hernia in Children
49. Introduction
50. Technique
51. Operative Technique
52. Materials
53. Discussion
54. Conclusions
55. Chapter 8: How to Reconstruct a Natural and Deep Umbilicus for All Kinds of Umbilical Deformiti
56. Introduction
57. Classification of Umbilical Deformities
58. Surgical Technique
59. Method 1
60. Method 2
61. Method 3
62. Cases
63. Case 1 (Type 0, Method 1)
64. Case 2 (Type I, Method 1)
65. Case 3 (Type II, Method 2)
66. Case 4 (Type III, Method 3)
67. Case 5 (Type IV, Method 3)
68. Discussion
69. Conclusions
70. Chapter 9: Reconstruction of a Natural-Appearing Umbilicus Using a Local Flap
71. Introduction
72. Technique
73. Umbilicoplasty Using a Local Flap for Protruding Navel
74. Umbilicoplasty Using a Subcutaneous Island Flap for Scarring After Umbilical Hernia Repair
75. Conclusions
76. Part IV: Benign Tumors
77. Chapter 10: Angiomyxoma: A Rare Tumor of the Umbilical Cord
78. Introduction
79. Discussion and Technique
80. Conclusions
81. Part V: Exstrophy
82. Chapter 11: Introduction to Abnormalities of the Umbilicus in the Infant
83. Introduction
84. Position of the Umbilicus
85. Bladder Exstrophy (Ectopia Vesicae)
86. Omphalocele (Exomphalos)
87. Gastroschisis
88. Urachal Pathology
89. Chapter 12: Construction of a Naturally Looking Inverted Umbilicus for Bladder Exstrophy
90. Introduction
91. Anatomy in Bladder Exstrophy
92. Operative Technique
93. Discussion
94. Conclusions
95. Chapter 13: Tubularized Trapezoid Flap Neoumbilicoplasty: Simple Technique for Umbilical Reconstruc
96. Introduction
97. Technique
98. Indications
99. Marking of Incision
100. Procedure
101. Postoperative Care
102. Discussion
103. Conclusion
104. Chapter 14: Umbilicoplasty for Bladder Exstrophy
105. Introduction
106. Technique
107. Part VI: Gastroschisis (Omphalocele)
108. Chapter 15: Anatomical Localization of the Umbilicus and Omphaloplasty Techniques
109. Introduction
110. Embryology
111. Blood Supply of the Umbilicus
112. Anatomical Localization of the Umbilicus
113. Aesthetics of the Umbilicus
114. Umbilical Transposition in Abdominoplasty (Figs. 15.4, 15.5, 15.6, 15.7, 15.8, and 15.9)
115. Neo-umbilicoplasty (Fig. 15.10)
116. Conclusions
117. Chapter 16: Umbilicoplasty for Gastroschisis
118. Introduction
119. Concepts
120. Postnatal Surgical Management
121. Follow-Up
122. Conclusions
123. Chapter 17: Umbilical Reconstruction After Gastroschisis Repair in the Infant
124. Introduction
125. Technique
126. Discussion
127. Conclusions
128. Part VII: Urachal Pathology
129. Chapter 18: One-Stage Umbilicus Reconstruction After Resection of Urachal Cyst
130. Introduction
131. Technique
132. Discussion
133. Conclusions
134. Chapter 19: Umbilicoplasty with a New Three-Step Technique in a Case of a Patent Urachus
135. Introduction
136. Patients and Methods
137. Case Report
138. Operative Procedure
139. Results
140. Discussion
141. Conclusions

Editor Biography

Melvin A. Shiffman, MD, JD, FCLM, received his MD from Northwestern University School of Medicine in 1957 and completed his residency in general surgery in 1964 at the Veterans Administration Hospital, Long Beach, California. Since then he has been continuously involved in the practice of oncologic surgery, reconstruction, and cosmetic surgery. In 2002, Dr. Shiffman became Chair of the Section of Surgery at Tustin Hospital and Medical Center and in 2009-10 he served as President of the American College of Legal Medicine. He is Editor Emeritus of the American Journal of Cosmetic Surgery, a member of the Scientific Committee of the American Journal of Aesthetic Medicine, and an examiner for the International Board of Cosmetic Surgery. He is also a former Editor-in-Chief of both the American Journal of Cosmetic Surgery and the International Journal of Cosmetic Surgery. Dr. Shiffman is the recipient of many honors and is a Fellow of various colleges and societies. He has published almost 300 articles, authored or edited 34 books, and written more than 140 book chapters.