Transposition of the Greater Omentum for Reconstruction of the Chest Wall

Surgical site infections following transcatheter apical aortic valve implantation: incidence and management

“…Transposition of the greater omentum to reconstruct the chest wall through a subcutaneous tunnel has been described in the past to cure patients with complex skin ulceration following Halstead radical breast cancer surgery and chest wall irradiation [19] although Kiricuta [20] is mainly credited for the initial use of the greater omentum for chest wall reconstruction. The omentum has a known power of repair, is obviously very well vascularised and can regenerate tissue and cure infection [21].…”

Management of Thoracic Aortic Graft Infections With the Omental Flap

“…The omentum is extremely mobile and has a remarkable ability to regenerate through cellular proliferation, adhesion formation, and fibrous tissue formation, earning the nickname ''the policeman of the abdomen.'' 14 In addition to having a rich vascular supply and lymphatic system, the omental flap has the added benefit of inducing neovascularity, giving it an advantage over the muscle flaps. 22,23 If omental flap harvest is unavailable or not feasible for use, success has been demonstrated with the use of pectoral flaps.…”

The split breast flap: Revisited - a medieval or an ideal solution in the selected case?

“…Free tissue transfers with microvascular anastomoses using muscle/composite flaps are frequently used as forms of reconstruction (8). Other reconstructions include latissimus dorsi muscle flaps covered with split skin, fasciocutaneous flaps, omental flaps, pectoralis major flaps and serratus anterior flaps (3,(13)(14)(15)(16). The external oblique muscle of the abdomen was found to be ideal for transposition into defects below the fourth rib due to it being the largest and most superficial of the flat muscles of the abdominal wall; the donor defect was easily closed in a V-Y fashion (17).…”