{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T14:29:04Z","timestamp":1780756144676,"version":"3.54.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T00:00:00Z","timestamp":1646611200000},"content-version":"vor","delay-in-days":371,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>The umbilicus is an important aesthetic component of the abdomen; therefore, its absence is both cosmetically and psychologically distressing to the patient. However, loss of the umbilicus during abdominal surgical procedures is often unavoidable. Umbilical reconstruction is aimed at obtaining a natural, three-dimensional appearance. We propose a simple method for immediate umbilical reconstruction with good long-term results. This technique was used successfully on a patient who underwent tumor excision. A 49-year-old woman presented with a large mass, measuring 5.8\u00d74.0 cm, on her umbilicus. The mass, an epidermal cyst, developed after laparoscopic uterine myomectomy 5 years earlier. Complete excision of the mass resulted in a large defect, and immediate umbilical reconstruction was planned. Our procedure involved apposing and anchoring two opposing flaps onto the abdominal wall, so that the umbilicus would retain its depth over a long period of time. Negative-pressure wound therapy was applied for 72 hours as a mild compressive dressing. No complications were encountered. The healing process was uneventful and the aesthetic outcome was pleasing; a natural-appearing navel was created. The patient was satisfied with the end result. This technique provides a permanent and sufficient depression for the umbilicus.<\/jats:p>","DOI":"10.5999\/aps.2020.01424","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T01:38:56Z","timestamp":1616031536000},"page":"175-178","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The three-point crossover technique for immediate reconstruction of the umbilicus"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6441-0514","authenticated-orcid":false,"given":"Cho Long","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2354-3983","authenticated-orcid":false,"given":"Ho Jik","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/00006534-200001000-00064","article-title":"In search of the ideal female umbilicus","volume":"105","author":"SB Craig","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2444","DOI":"10.1097\/00006534-199812000-00028","article-title":"A simple technique for reconstruction of the umbilicus, using two twisted flaps","volume":"102","author":"T Yotsuyanagi","year":"1998","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/00000637-199501000-00016","article-title":"Reconstruction of the umbilicus using a single triangular flap","volume":"34","author":"Y Sugawara","year":"1995","journal-title":"Ann Plast Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/SAP.0b013e31819537e4","article-title":"Reconstructing a natural looking umbilicus: a new technique","volume":"63","author":"R Hazani","year":"2009","journal-title":"Ann Plast Surg"},{"key":"ref5","first-page":"322","article-title":"Umbilical shape and diseases related to age and sex","volume":"38","author":"HJ Ahn","year":"2000","journal-title":"Korean J Dermatol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"2194","DOI":"10.1097\/01.PRS.0000122547.56709.08","article-title":"An anatomical method for re-siting the umbilicus","volume":"113","author":"NS Niranjan","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/00006534-197802000-00030","article-title":"Placement of the umbilicus in an abdominoplasty","volume":"61","author":"R Dubou","year":"1978","journal-title":"Plast Reconstr Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1097\/01.PRS.0000086084.32830.72","article-title":"Purse-string method for immediate umbilical reconstruction","volume":"112","author":"SA Bartsich","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/01.PRS.0000035716.45022.5A","article-title":"Reconstruction of umbilical hypogenesis accompanied by a longitudinal scar","volume":"111","author":"N Iida","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/00006534-199007000-00026","article-title":"A simple technique for reconstruction of the umbilicus, using a conchal cartilage composite graft","volume":"86","author":"K Matsuo","year":"1990","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2020-01424.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2020.01424","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2020.01424.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:05:14Z","timestamp":1730822714000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2020.01424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":10,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,3,7]]},"published-print":{"date-parts":[[2021,3]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2020.01424","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2020-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}