PMC4662529_01
A and B proboscoid hernia
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F0001
This is a case of a 4 years old child who was brought for consultation in 2013 when he was 2 years old by his parents complaining of persisted unaesthetic umbilical tumefaction from birth with a notion of intermittent pains (Figure 1).
Illustration of the procedure of double half cone umbilicoplasty (ref 2)
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F0002
Under general anesthesia the apex of the protuberant umbilical skin is held with a forcep (Figure 2).
V-shaped cuts leaving two half cones
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F0003
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) (Figure 3).
Facial defect repair
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F0004
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 (Figure 4).
Aspect of the umbilicus at the end of the procedure
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F0005
Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus(Figure 5).
Aspect of the abdominal wall 2 years postoperative
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F0006
The final results of the technique 2years postoperatively are satisfactory (Figure 6).