Descrição e análise de técnica cirúrgica de reconstrução umbilical em pacientes submetidos à abdominoplastia

Abstract

Introduction: different methods of umbilical reconstruction have been described over the years by several authors. Some common problems have been reported, such as umbilical stenosis and the shape and apparent stigmatized scar. Thus, it is imperative to search for a surgical technique that is quick and easy to perform, with an aesthetically favorable result. Objectives: to describe and analyze the surgical technique of umbilical reconstruction in patients undergoing abdominoplasty in a private clinic in the west of Santa Catarina and to verify the frequency of surgical intervention for umbilical correction after abdominoplasty. Methodology: All patients who underwent abdominoplasty with umbilical reconstruction from January 2017 to December 2020 at the clinic were evaluated. This is a descriptive quantitative study, with retrospective and secondary data. A survey of patients who met the inclusion criteria was carried out. To systematize the information collected, a database was built with the Open Office program, tabulated and later analyzed using the Epi info software. Results: of the total number of patients analyzed, 98.12% were female; the age group of patients was 22 to 68 years old, with a prevalence between 31 to 40 years old; 54.07% of patients were overweight, 40.00% were of normal weight, 5.19% were Grade I overweight and 0.74% were Grade II overweight. Still, 17.13% of the patients needed some surgical intervention after the initial procedure, but only 0.37% of the patients needed correction of the umbilical scar. Conclusion: the results obtained by this technique proved to be satisfactory for following characteristics that are considered natural. Furthermore, the analysis of the incidence of corrective surgical interventions was low.