How I do it: A novel umbilicoplasty technique using the preserved umbilical cord during primary bladder exstrophy repair
Journal of Pediatric Urology, cilt.22, sa.5, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.jpurol.2026.106003
- Dergi Adı: Journal of Pediatric Urology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Anahtar Kelimeler: Bladder exstrophy, Umbilico-plasty, Umbilical cord, Neonate, Surgical technique
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
In bladder exstrophy (BE), the umbilical cord is attached to the superior edge of the bladder plate and is usually discarded, leaving patients without a visible umbilicus. We describe a technique that preserves the umbilical cord during primary BE repair to reconstruct a natural-appearing umbilicus without additional skin incisions. The preserved umbilical vein embedded in Wharton's jelly is passed retrogradely through a preperitoneal tunnel to a midline skin opening and secured to create a stable umbilical depression. In five neonates followed for a median of 5 years, all achieved stable cosmetic results with no technique-related complications or need for revision.