Long-term cosmetic outcomes of the slit-slide procedure for umbilical hernia repair in children.
Cosmetic outcome
Long-term outcome
Questionnaire survey
Slit-slide procedure
Umbilical hernia
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
07 Nov 2023
07 Nov 2023
Historique:
received:
09
05
2023
accepted:
24
09
2023
medline:
7
11
2023
pubmed:
7
11
2023
entrez:
7
11
2023
Statut:
aheadofprint
Résumé
To assess the long-term cosmetic outcomes of the "slit-slide procedure", designed to provide a more natural appearance for umbilical hernia repair, as perceived by the patients and their parents. A total of 149 patients with umbilical hernia underwent the slit-slide procedure at our hospital. The slit-slide procedure allows for the creation of an umbilicus with a more natural and integrated appearance. The patient satisfaction survey questionnaire was mailed to the families (n = 139), and there were 74 (53.2%) respondents. A questionnaire survey on postoperative appearance was also distributed to pediatric surgeons. The median age at the time of operation was 2.5 years (range, 2 months to 14 years) and the average median age at the time of answering the questionnaire was 6.25 years old (range, 2.5-14.8 years). The average median period of observation was 3.2 years (range, 4 months to 8.97 years). Most patients (89.2%) and parents (93.2%) were satisfied with the appearance of the umbilicus. Twenty-seven patients reported improved satisfaction after surgery (36.2%). Surgeons tended to score the elongated-oval shape highly; however, there was no difference in satisfaction among the shapes. The slit-slide procedure is not only effective and safe, but it achieves a satisfactory aesthetic outcome.
Identifiants
pubmed: 37934306
doi: 10.1007/s00595-023-02760-3
pii: 10.1007/s00595-023-02760-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Japan Society for the Promotion of Science
ID : KAKENHI/18K16262
Organisme : Japan Society for the Promotion of Science
ID : KAKENHI/22K15925
Informations de copyright
© 2023. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
Références
Yanagisawa S, Kato M, Oshio T, Morikawa Y. Reappraisal of adhesive strapping as treatment for infantile umbilical hernia. Pediatr Int. 2016;58(5):363–8.
doi: 10.1111/ped.12858
pubmed: 26624557
Kajikawa A, Ueda K, Suzuki Y, Ohkouchi M. A new umbilicoplasty for children: creating a longitudinal deep umbilical depression. Br J Plast Surg. 2004;57(8):741–8.
doi: 10.1016/j.bjps.2004.05.015
pubmed: 15544771
Zenitani M, Sasaki T, Tanaka N, Oue T. Umbilical appearance and patient/parent satisfaction over 5 years of follow-up after umbilical hernia repair in children. J Pediatr Surg. 2018;53(7):1288–94.
doi: 10.1016/j.jpedsurg.2017.06.003
pubmed: 28629819
Sugita K, Noguchi H, Matsukubo M, Murakami M, Machigashira S, Ieiri S. Treatment results of the VY flap method of lnverse Y-shaped lncision: a questionnaire survey on patient satisfaction. Jpn J Pediatric Surg. 2021;57:938–45.
Sakamoto Y, Kamagata S, Hirobe S, Hayashi A. Umbilical shape by age and growth: a Japanese study. Plast Reconstr Surg. 2010;126(2):97e-e98.
doi: 10.1097/PRS.0b013e3181de2411
pubmed: 20679806
Horisawa M, Ogura Y, Matsunaga K. New technique for umbilical hernia operation: slit-slide procedure. Jpn J Pediatric Surg. 1999;31(8):739–975.
van Veldhuisen CL, Kamali P, Wu W, Becherer BE, Sinno HH, Ashraf AA. Prospective, double-blind evaluation of umbilicoplasty techniques using conventional and crowdsourcing methods. Plast Reconstr Surg. 2017;140(6):1151–62.
doi: 10.1097/PRS.0000000000003839
pubmed: 29176414
Correia N, Jayyosi L, Chiriac S, Renard Y, Raimond E, Poli-Merol ML, Chaput B, François C. Morphometric analysis of the umbilicus according to age. Aesthetic Surg J. 2018;38(6):627–34.
doi: 10.1093/asj/sjx184
Craig SB, Faller MS, Puckett CL. In search of the ideal female umbilicus. Plast Reconstr Surg. 2000;105(1):389–92.
doi: 10.1097/00006534-200001000-00064
pubmed: 10627008
Graham KA, Livingston RJ. Ideal male umbilicus: an observational study of surface anatomy and introduction to the SHAPE classification. Aesthetic Plast Surg. 2022. https://doi.org/10.1007/s00266-022-02798-7 .
doi: 10.1007/s00266-022-02798-7
pubmed: 35169914
pmcid: 9592660
Hayashida M, Shimozono T, Meiri S, Kurogi J, Yamashita N, Ifuku T. Umbilical hernia: influence of adhesive strapping on outcome. Pediatr Int. 2017;59(12):1266–9.
doi: 10.1111/ped.13406
pubmed: 28833971
Zendejas B, Kuchena A, Onkendi EO, Lohse CM, Moir CR, Ishitani MB. Fifty-three–year experience with pediatric umbilical hernia repairs. J Pediatr Surg. 2011;46(11):2151–6.
doi: 10.1016/j.jpedsurg.2011.06.014
pubmed: 22075348
Zens T, Nichol PF, Cartmill R, Kohler JE. Management of asymptomatic pediatric umbilical hernias: a systematic review. J Pediatr Surg. 2017;52(11):1723–31.
doi: 10.1016/j.jpedsurg.2017.07.016
pubmed: 28778691
Chemaly M, El-Rajab MA, Ziade FM, Naja ZM. Effect of one anesthetic exposure on long-term behavioral changes in children. J Clin Anesth. 2014;26(7):551–6.
doi: 10.1016/j.jclinane.2014.03.013
pubmed: 25439418