Omental Flap in Breast Reconstruction

Abstract

Objectives: The use of omental flap for breast reconstruction was reported by the Romanian surgeon Kiricuta in 1963, since that time some surgeons tried to use the omentum either pedicled or free for breast reconstruction. It can be used after partial or total mastectomy. Aims: The aim of this chapter is to address indications, limitations, contraindications, and technique of omental flap for breast reconstruction. Technique: This flap could be retrieved by either a small midline laparotomy or preferably by laparoscopic harvesting. Details of retrieval, tips and tricks are highlighted in this chapter. Conclusions: Omental flap is a strong working horse in breast reconstruction after partial or skin sparing mastectomy (SSM). It can be free or pedicled. It could be retrieved by minilaparotomy or preferably by laparoscopic harvesting omental flap (LHOF). It is a simple, safe, and reliable flap that mimics the natural contour of the breast. In about 30% with volume insufficiency it can be used with an implant as a cover with low complication rate and good esthetic outcome.