Enhancing aesthetic outcomes in primary umbilical endometriosis: Novel four-flap neoumbilicoplasty with case insights and comprehensive literature review

Suhas AM, A M Suhas, S Girija, Girija S, I Sabina, Sabina I, Attibele Palaksha Manjunath
Journal of Obstetrics and Gynaecology Research · 2025 · vol. 51(3) , pp. e16271 · doi:10.1111/jog.16271 · PMID:40114413 · W4408724881
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A novel four-flap neoumbilicoplasty technique for primary umbilical endometriosis combines lesion removal and reconstruction, achieving a high-quality aesthetic outcome suitable for general gynecologists.

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Abstract

Primary umbilical endometriosis (PUE) is a rare form of extragenital endometriosis, accounting for only 0.5%-1% of all endometriosis cases. Surgical excision is the primary treatment; however, it often results in disfigurement of the umbilicus, leading to aesthetic dissatisfaction. This case report aims to describe and discuss a simple surgical technique for aesthetically managing PUE. Our patient was a 35-year-old woman who presented with pain and bleeding from the umbilicus during menstruation. She denied any prior surgeries. Clinical examination and imaging revealed a small nodule within the umbilicus. The novel four-flap neoumbilicoplasty technique was employed, combining lesion removal and reconstruction in a single procedure, to achieve a high-quality aesthetic outcome. This technique is easily adoptable by general gynecologists, without advanced expertise or equipment. Its wider adoption could enhance surgical practice globally and build robust evidence in managing PUE.
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Enhancing aesthetic outcomes in primary umbilical endometriosis: Novel four-flap neoumbilicoplasty with case insights and comprehensive literature review Abstract Primary umbilical endometriosis (PUE) is a rare form of extragenital endometriosis, accounting for only 0.5%–1% of all endometriosis cases. Surgical excision is the primary treatment; however, it often results in disfigurement of the umbilicus, leading to aesthetic dissatisfaction. This case report aims to describe and discuss a simple surgical technique for aesthetically managing PUE. Our patient was a 35-year-old woman who presented with pain and bleeding from the umbilicus during menstruation. She denied any prior surgeries. Clinical examination and imaging revealed a small nodule within the umbilicus. The novel four-flap neoumbilicoplasty technique was employed, combining lesion removal and reconstruction in a single procedure, to achieve a high-quality aesthetic outcome. This technique is easily adoptable by general gynecologists, without advanced expertise or equipment. Its wider adoption could enhance surgical practice globally and build robust evidence in managing PUE. CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest. DATA AVAILABILITY STATEMENT Data sharing is not applicable, as this is a case report and all relevant data have already been included.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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