Treatment Results of the VY Flap Method of Inverse Y-Shaped Incision: A Questionnaire Survey on Patient Satisfaction

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  • Sugita Koshiro
    Department of Pediatric Surgery, Kagoshima City Hospital Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Noguchi Hiroyuki
    Department of Pediatric Surgery, Kagoshima City Hospital
  • Matsukubo Makoto
    Department of Pediatric Surgery, Kagoshima City Hospital Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Murakami Masakazu
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Machigashira Seiro
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Ieiri Satoshi
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University

Bibliographic Information

Other Title
  • 逆Y字皮膚切開による臍形成術（VY皮弁法）の治療成績
  • 逆Y字皮膚切開による臍形成術(VY皮弁法)の治療成績 : アンケートによる患者満足度調査
  • ギャクYジ ヒフ セッカイ ニ ヨル セイケイセイジュツ(VY ヒベンホウ)ノ チリョウ セイセキ : アンケート ニ ヨル カンジャ マンゾクド チョウサ
  • ―アンケートによる患者満足度調査―

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Description

<p>Purpose: We reviewed the cases of patients who underwent umbilicoplasty (VY flap) with a reverse Y-shaped incision at our hospital and evaluated its therapeutic results and usefulness.</p><p>Methods: We retrospectively evaluated sex, age at surgery, birth weight, gestational age, comorbidities, operation time, and postoperative complications in 191 patients who underwent umbilicoplasty during the 15-year period from April 2004 to November 2018. In addition, we conducted a questionnaire survey about patient satisfaction.</p><p>Results: Umbilicoplasty was performed in 183 patients before they entered school. The most common complication was inguinal hernia (n = 18; 9.4%). Periumbilical dermatitis was the most common postoperative complication (n = 9; 13.8%). Only three patients (4.6%; two with exudate and one with dermatitis) required ointment treatment. Most of the patients with complications recovered without treatment. Among the 68 patients who completed the questionnaire survey, 48 described their umbilical appearance as “satisfactory”. In the comparison between the satisfied group and the unsatisfied group, there were significant differences in age at surgery and sex. The patients in the satisfied group were older and the group had a higher proportion of boys. Five children (average age, 7.6 years) responded that they themselves wanted to undergo the operation.</p><p>Conclusions: Satisfaction with the surgical procedure at our hospital was fully evaluated. Currently, there are various procedures for umbilical hernia. However, it seems that the appropriate timing of operation may be different for each operative procedure.</p>

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