Scarless reconstruction of circular umbilical defects after resection of endometriosis

Objective: Approximately 0.5–1% of patients diagnosed with endometriosis present with cutaneous lesions in the umbilicus. For symptomatic patients complete excision is mandatory and frequently results in resection of the entire umbilicus. The resulting circular defects require umbilical reconstruction to achieve a cosmetically satisfying result in these mostly young patients. Methods: We report on our surgical technique of choice used in patients with circular defects in projection of the umbilicus. The umbilical mass is widely excised down to the level of the fascia of the rectus muscle. When indicated diagnost…