PMC2745138_01
Catheter located in the vesical conduct, showing the localization of the neoumbilicus
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Considering the excess of skin in the epigastric region, the presence of an inferior aponeurosis (with no clinically obvious hernia) and the presence of the catheterization conduit midline, an abdominal dermolipectomy was suggested as the best therapeutic option, accompanied by the externalization of the conduit for catheterization by neo-umbilicoplasty (Figure 1).
Above - pre operative. Below - post operative
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Finally, the layers of the abdominal wall were closed (Figure 2).