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Location of the umbilicus in Korean women and its changes after breast reconstruction with an ipsilateral pedicled rectus abdominis musculocutaneous flap

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Author(s)
Sangho OhHyojin JeonDaegu Son
Keimyung Author(s)
Oh, Sang HoSon, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Archives of Plastic Surgery
Issued Date
2018
Volume
45
Issue
5
Keyword
Computed tomographyMyocutaneous flapPubic symphysisUmbilicusXiphoid bone
Abstract
Background
The umbilicus makes an important contribution to the natural appearance of the abdomen. To date, studies on its position in Korean women are lacking, and no standards have been established. The purpose of this study was to investigate the position of umbilicus in Korean women and to review changes in its position after ipsilateral pedicled rectus abdominis musculocutaneous (IP-RAM) flap.

Methods
This research consisted of two studies. In first study, 100 females who visited the emergency department with gastroenteritis between 2007 and 2011 were included. In second study, 40 women who underwent IP-RAM flap in the same period were included. Using abdominal computed tomography, we measured the distance between xiphoid process and umbilicus, represented by value a, and the distance between umbilicus and symphysis pubis, represented by value b. Thus, the location of the umbilicus was represented by the ratio a/b. The data were analyzed using Pearson correlation test and paired t-test.

Results
In study 1, the mean value of a/b was 1.07. Pearson correlation test revealed a significant correlation between age and a/b. In study 2, the mean value of a/b was 1.16 in preoperative measurements and 1.01 in postoperative measurements. The paired t-test showed a significant difference between preoperative and postoperative measurements, indicating cephalic migration of the umbilicus after surgery.

Conclusions
The natural position of the umbilicus showed caudal migration with aging. Additionally, in a comparison of preoperative and postoperative measurements in patients who underwent IP-RAM flap, cephalic migration of the umbilicus was observed after surgery
Keimyung Author(s)(Kor)
오상호
손대구
Publisher
School of Medicine (의과대학)
Citation
Sangho Oh et al. (2018). Location of the umbilicus in Korean women and its changes after breast reconstruction with an ipsilateral pedicled rectus abdominis musculocutaneous flap. Archives of Plastic Surgery, 45(5), 425–431. doi: 10.5999/aps.2018.00213
Type
Article
ISSN
2234-6171
Source
https://www.e-aps.org/journal/view.php?doi=10.5999/aps.2018.00213
DOI
10.5999/aps.2018.00213
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41791
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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