腹壁手术中脐重建方法探讨

Umbilicus reconstruction in abdominal wall operations

目的:通过总结进行腹壁手术时脐重建的体会,探讨获得良好效果的脐重建方法。方法:腹壁手术中进行脐重建时,采用纵向“｜”字形切口,将脐茎牵出腹壁外并缝合固定。在重新确定脐的位置时,使其尽量靠近黄金分割点,且距腹部切口边缘距离2cm以上,以防止切口边缘皮肤血运障碍。结果:自2003年8月以来,应用该方法在腹壁整形及应用腹部皮瓣进行乳房重建术中进行脐重建34例,均获得了满意效果。结论:脐在美学方面的价值已逐渐被重视,在脐重建时应尽量将脐设计为T形或垂直形以获得良好的术后效果。同时避免环形切口,以避免术后瘢痕挛缩而引起脐孔狭窄。

Objective To search a more suitable method for umbilicus reconstruction. Methods We designed the vertical＇I＇ shaped incision on the abdominal wall and pulled umbilicus out from the incision. Results 34 cases of abdominal plastic and breast reconstruction using transverse abdominal myocutaneous flaps were undergone umbilicus reconstruction since Aug 2003, good result have been achieved. Conclusion Umbilicus should be designed T-shape or vertical shape and satisfied results could be reached. Meanwhile, a circular incision should be avoid in case of stenosis.