The dome procedure: a new technique for the reconstruction of the umbilicus

Abstract

Purpose: The absence of the umbilicus is, in essence, an aesthetic deformity of the abdominal wall. The goal of reconstructing the umbilicus is to obtain a natural, three-dimensional appearance. In this study, we present a new technique called the “dome procedure” for the reconstruction of the umbilicus. Methods: This procedure can be applied under local anaesthesia on an outpatient basis and the drawing of the design is simple. The technique was applied to six patients who presented with an absence of the umbilicus following repair of a large incisional and umbilical hernia. Results: No major or minor complications were encountered. Patient satisfaction was high after surgical intervention. Conclusions: The dome procedure, which enables the umbilicus to have a natural appearance with sufficient depression and normal-appearing wrinkles, is simple, easy to perform, and safe. © 2015, Springer-Verlag France.