Laparoscopic-Assisted Bipedicle Omental Flap Mobilization for Reconstruction of a Chest Wall Defect

The laparoscopically harvested omental flap for deep sternal wound infection

“…In their cases, and other that followed [9], the right gastroepiploic vessels were then used as vascular pedicle for the anastomosis, the right gastro-epiploic vessels usually being larger than the left [15]. In 1994, Corral et al presented a case report of the closure of a chest wall defect by means of an endoscopically assisted mobilisation of a bipedicle omental flap [16]. Based on a single, left gastro-epiploic pedicle, Domene et al were able to reconstruct a large sternal defect with an endoscopically harvested omentum.…”

Long‐term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema

“…Body mass index mean was 36 . Duration of lymphedema symptoms mean was 5.8 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) years. Lymphedema etiology included breast cancer (n ¼ 16), gynecologic cancer (n ¼ 12), lymphoma (n ¼ 5), trauma (n ¼ 3), primary lymphedema (n ¼ 2), and sarcoma (n ¼ 1).…”

“…With the increasing popularity with perforator flaps , changing training patterns , and need for a celiotomy, the omentum oftentimes is reserved as a secondary or salvage flap option unless a celiotomy is already performed. The authors’ application of a minimally invasive flap harvest has increased our utilization of the omentum as a preferred flap option in all reconstructive locations when indicated .…”

Omentum flap as a salvage procedure in deep sternal wound infection

“…25 , 26 Application of the laparoscopic techniques has the potential to lower the donor-side morbidity by improved visualization, decreased length of the abdominal incision and a more rapid return of the bowl function. 27 , 28 However, in some cases the laparoscopic approach can be contraindicated. Nevertheless, hemodynamic lability, severe pulmonary disease as well as limited ventilation of the lung or restricted cardiac output can, in this cardiologic high-risk population, be on top negatively influenced by an applied pneumoperitoneum.…”