case_images: PMC4662529_01
case_images: A and B proboscoid hernia
case_images: PAMJ-22-44-g001.jpg
case_images: PMC4662529_01_PAMJ-22-44-g001.jpg
case_images: F0001
case_images: This is a case of a 4 years old child who was brought for consultation in 2013 when he was 2 years old by his parents complaining of persisted unaesthetic umbilical tumefaction from birth with a notion of intermittent pains (Figure 1).
case_images: Illustration of the procedure of double half cone umbilicoplasty (ref 2)
case_images: PAMJ-22-44-g002.jpg
case_images: PMC4662529_01_PAMJ-22-44-g002.jpg
case_images: F0002
case_images: Under general anesthesia the apex of the protuberant umbilical skin is held with a forcep (Figure 2).
case_images: V-shaped cuts leaving two half cones
case_images: PAMJ-22-44-g003.jpg
case_images: PMC4662529_01_PAMJ-22-44-g003.jpg
case_images: F0003
case_images: The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm)and a long caudal(1cm) (Figure 3).
case_images: Facial defect repair
case_images: PAMJ-22-44-g004.jpg
case_images: PMC4662529_01_PAMJ-22-44-g004.jpg
case_images: F0004
case_images: The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia (Figure 4).
case_images: Aspect of the umbilicus at the end of the procedure
case_images: PAMJ-22-44-g005.jpg
case_images: PMC4662529_01_PAMJ-22-44-g005.jpg
case_images: F0005
case_images: Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus(Figure 5).
case_images: Aspect of the abdominal wall 2 years postoperative
case_images: PAMJ-22-44-g006.jpg
case_images: PMC4662529_01_PAMJ-22-44-g006.jpg
case_images: F0006
case_images: The final results of the technique 2years postoperatively are satisfactory (Figure 6).