The possibilities of greater omentum usage in thoracic surgery

Levashev, Yuri N.; Akopov, Andrey; Мосин, И. В.

doi:10.1016/s1010-7940(99)00041-x

Cited by 64 publications

(38 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Omental pedicle flap is more frequently used for severe cases, involving complicated infection, OWT after BPF and a previous pneumonectomy (5,16). On the other hand, muscle pedicle flap is usually applied for non-severe cases.…”

Section: Discussionmentioning

confidence: 99%

“…Omental pedicle flap for OWT closure is the most radical surgical treatment for thoracic empyema (5,(16)(17)(18) and is used for very severe cases, involving MRSA empyema, a previous pneumonectomy empyema caused by BPF and chronic empyema caused by aspergillus and tuberculosis. This is because the omentum has anti-inflammatory properties and promotes tissue healing because of the presence of abundant blood vessels and lymphatics (19).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Shinohara¹,

Chikaishi²,

Kuwata³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Background: Open window thoracotomy (OWT) as well as its closure are challenging. Transposition of omental pedicle and muscle flaps is often performed for OWT closure; however, the better technique among the two is unknown. The purpose of this series was to evaluate the outcomes of using both omental pedicle and muscle flaps for the aforementioned closure. Results: There were 9 (33.3%) omental pedicle flap procedures and 18 (66.7%) muscle flap procedures.The rate of local recurrence after closure of OWT was significantly higher with muscle flap than with omental pedicle flap (0% vs. 50.0%, P=0.012). The median duration of postoperative hospital stay was significantly shorter with omental pedicle flap than that with muscle flap (16.0 vs. 41.5 days, P=0.037).Mortality was observed in 2 patients (11.2%) in the muscle flap group and no patient in the omental pedicle flap group. Success rate was similar between the two groups (100% for omental pedicle flap vs. 83.3% for muscle flap).Conclusions: Omental pedicle flap was superior to muscle flap in terms of reducing local recurrence and shortening postoperative hospital stay. However, mortality, morbidity and success rates were not affected by the choice of flap.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Shinohara¹,

Chikaishi²,

Kuwata³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…[33][34][35][36][37][38][39] It can be performed as a singlestage operation without an open-window thoracotomy 40,41 if the useful washing is done by tube drainage or thoracoscopy. 42 There have also been some trials using thoracoscopy and laparoscopy to make a pedicled omental fl ap.…”

Section: Discussionmentioning

confidence: 99%

Omentoplasty in thoracic surgery

Kitano

2008

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Plombage methods were designed for treating pulmonary tuberculosis surgically around 1945 when pulmonary tuberculosis was regarded as a "traitor disease" in Japan. Nagaishi had reported extrapleural synthetic resin ball plombage in 1948 as the world's first case, but it was complicated by empyema due to perforation of cavities and rupture of lesions because the resin ball was hard. Later, fillers were improved by using soft material. At the present time, only air plombage and omentoplasty remain. Especially the latter has gained widespread use in the thoracic surgery field and become a standard procedure. Chronic empyema with bronchopleural fistula sometime requires surgical treatment despite the development of various antibiotics, but highly stressful surgery that can cause reduced pulmonary function or thoracic deformity must be avoided. Therefore, one-stage omentoplasty utilizing such omental multi-functions as hose action, angiogenesis, sucker action, and the immune reaction has been found to have clinical significance for thoracic empyema and its complications. This method is described in detail.

show abstract

“…13,14 However, the omentum has angiogenic properties and it has been used clinically to promote wound healing and to stimulate revascularization of ischemic organs and tissues. 19,25 In 1936, O'Shaughnessy introduced cardio-omentopexy, in which the ischemic heart was wrapped with a pedicled omental graft directed through the left diaphragm. 26 Vineberg subsequently introduced internal thoracic artery implantation, epicardiectomy and free omental grafting.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Angiogenesis With Autologous Hepatic Tissue Implantation and Omental Wrapping

Shao

Kawasuji

Takaji

et al. 2008

Circ J

View full text Add to dashboard Cite

The possibilities of greater omentum usage in thoracic surgery

Abstract: We think the series demonstrates the value of the omental method, which offers excellent therapeutic results following an easy surgical procedure. This method extends indications for surgical treatment and decreases the postoperative complications.

Cited by 64 publications

References 14 publications

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Omentoplasty in thoracic surgery

Therapeutic Angiogenesis With Autologous Hepatic Tissue Implantation and Omental Wrapping

Contact Info

Product

Resources

About