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'Scarless' umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature.

机译:“无耻”的脐骨成形术:一种新的脐成形术技术与英语语言文学综述。

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Many techniques have been described for umbilicoplasty after abdominoplasty, but none of these techniques seems ideal. In this report, we wish to report a new scarless an ideal technique: it is easy to perform and results in the complete absence of visible scars and with a preferred vertical orientation. The aesthetic results of this technique are subjectively and objectively evaluated as compared with the classic umbilicoplasty and these results are discussed among the English language literature. In the period of 2004 to 2005, a series of 138 female patients have had an abdominoplasty with either the classic umbilicoplasty (n = 31) or with our scarless umbilicoplasty (n = 107). After a follow-up period of at least 3 (of 6) months, a questionnaire was send to all of these patients to evaluate patient satisfaction. Twenty-five patients from the classic umbilicoplasty group responded, 53 patients from the scarless umbilicoplasty group. Age (mean 45 with range, 22-66 years) and body mass index (29 with range, 22-35) did not differ among both groups. Also a random selection of fifteen photos from both groups was analyzed and rated according to the system of Strasser by an independent panel. There were no major complications in both groups, but in the classic group, there were some cases with hypertrophic scarring. Patients who underwent the scarless umbilicoplasty technique graded the appearance of their umbilicus significantly better on shape, depth, hygiene, and scar. No significant differences were found in grading size and wound healing. Objective evaluation of the photos demonstrated significant better results for the scarless umbilicoplasty technique. Based on our subjective and objective analysis we conclude that our new technique of the scarless umbilicoplasty features many of the characteristics of the ideal umbilicoplasty: a rather simple and reliable method for creating a natural looking umbilicus when performing an abdominoplasty.
机译:腹部成形术后脐成形术中已经描述了许多技术,但这些技术都没有似乎是理想的。在本报告中,我们希望报告一种新的无缺陷的理想技术:很容易执行并导致完全没有可见疤痕和优选的垂直方向。与经典的脐成形术相比,这种技术的美学结果是主观的,客观地评估,这些结果在英语语言文献中讨论了这些结果。在2004年至2005年期间,一系列138名女性患者患有腹部成形术,具有经典的脐成形术(n = 31)或与我们无尾的脐成形术(n = 107)。在至少3个月的后续时间(为6)个月后,向所有患者发送问卷以评估患者满意度。来自经典脐成形术组的二十五名患者应对,53名令人不不染的脐成形术患者。年龄(平均45种,22-66岁)和体重指数(29种,29-35)两组都没有差异。另外,根据独立面板,分析和评定了两组来自两组的十五张照片的随机选择。两组没有主要的并发症,但在经典群体中,有一些肥厚疤痕的病例。接受无骨头脐成形术技术的患者显着逐渐变得更好的脐部,深度,卫生和疤痕。在分级大小和伤口愈合中没有发现显着差异。客观评估该照片对无骨头脐成形术技术表现出显着更好的效果。基于我们的主观性和客观分析,我们得出结论,我们的新技术无缺骨脐成形术,具有许多理想的脐成形术的特征:一种相当简单而可靠的方法,用于在进行腹部形术时创造自然的脐带。

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