Abstract
The umbilicus is the scar that remains after the umbilical cord is removed from a newborn baby. As a simple structure without layers, the umbilicus is suitable as the surgical access window for entry into the peritoneal cavity as well as the site for tissue extraction. Reduced port laparoscopic surgery requires use of the umbilicus as the access site. There are some very important points to remember for reconstructing the umbilicus after surgery. A beautiful finish requires a beautiful incision. A vertically oriented umbilicus is commonly favored. To close the incision, the fascial wound and the floor of the umbilicus must be closed firmly to avoid incisional hernia. The umbilicus is a key aesthetic landmark. To avoid complications from the incision as well as patient dissatisfaction with the shape of the umbilicus after surgery, surgeons must understand the details of its anatomy and the fine points of reconstructing the umbilicus, giving proper attention to cosmesis.
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Iida, A., Yamaguchi, A. (2014). The Umbilicus as the Access Site. In: Mori, T., Dapri, G. (eds) Reduced Port Laparoscopic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54601-6_13
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DOI: https://doi.org/10.1007/978-4-431-54601-6_13
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