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0 Comment February 7, 2017

Tummy tuck umbilical hernia surgery

The skin on the abdominal wall is completely detached and the dissections continue around the midline when a tummy tuck is performed. The blood supply to the belly button is not compromised and the belly button heals normally after surgery when the belly button is detached from the surrounding skin.

Let’s review the blood supply to the belly button in a patient who does not have a hernia. If you look at the red line in this diagram, you can see the pink line which is the skin. There is a dual blood supply to a normal belly button without a hernia. The blood comes from the top, going down around the belly button stalk. It also comes from underneath on top of the muscles and up to the skin. The blood supply that comes from the top down from the skin is compromised when we detach the belly button during a tummy tuck. Due to the fact that belly button has a blood supply from underneath, it doesn’t cause any issues to the survival of belly button during the tummy tuck procedure.

There is a defect right under the belly button when there is an umbilical hernia. The blood supply to the belly button is already compromised from the direction of the muscle wall all the way to the skin. The skin on the top will be detached and cut the other major blood supply to the belly button that comes from the top down when a tummy tuck is performed. There is a complete compromise of the blood supply, which can cause the belly button to die when a hernia is encountered. There may be enough blood supply for the belly button to survive the surgical procedure if the hernia is small. However, if the hernia is very large and the belly button’s floor is completely violated by the hernia, there is a chance that the belly button will die. Reconstruction from scratch will be necessary.


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