Laparoscopically harvested omental free flap to cover a large soft tissue defect

Renato Saltz, Robert Stowers, Michael Smith, Thomas R. Gadacz

Research output: Contribution to journalArticle

Abstract

Objective: The omentum has been a very important tool in the armamentarium of the reconstructive surgeon. It has lost much of its value because of the morbidity associated with laparotomy. Laparoscopic surgery has become a popular technique and allows operations to be performed with minimal morbidity. The possibility of harvesting the omental free flap with the laparoscope and its use in reconstructive surgery has been demonstrated. Summary Background Data: Since the first laparoscopic cholecystectomy was performed, many surgeons have learned the procedure. Other surgical specialties have also benefited from this technique. The omentum provides a large amount of vascularized tissue and excellent wound coverage. It can be transferred as a pedicle flap, or as a free flap, using microvascular technique. Methods: The procedure was developed and refined in an animal model. One team harvested the omentum with laparoscopic assistance, while the other team prepared the recipient vessels. After completion of the microvascular transfer, the dogs were observed for 14 days. At that time, the omental tissue was examined for gross and histologic changes. A clinical case is also presented. Results: Gross and microscopic studies documented the viability of this approach. The patient tolerated the procedure well and had an unremarkable postoperative course. Conclusions: Experimental and clinical evidence shows that the omentum can be successfully harvested as a free flap using laparoscopic assistance. This technique may prove to be of clinical significance and very useful for reconstructive surgery with less morbidity.

Original languageEnglish (US)
Pages (from-to)542-547
Number of pages6
JournalAnnals of Surgery
Volume217
Issue number5
StatePublished - May 1993
Externally publishedYes

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Omentum
Free Tissue Flaps
Reconstructive Surgical Procedures
Morbidity
Surgical Specialties
Laparoscopes
Laparoscopic Cholecystectomy
Laparoscopy
Laparotomy
Animal Models
Dogs
Wounds and Injuries
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Saltz, R., Stowers, R., Smith, M., & Gadacz, T. R. (1993). Laparoscopically harvested omental free flap to cover a large soft tissue defect. Annals of Surgery, 217(5), 542-547.

Laparoscopically harvested omental free flap to cover a large soft tissue defect. / Saltz, Renato; Stowers, Robert; Smith, Michael; Gadacz, Thomas R.

In: Annals of Surgery, Vol. 217, No. 5, 05.1993, p. 542-547.

Research output: Contribution to journalArticle

Saltz, R, Stowers, R, Smith, M & Gadacz, TR 1993, 'Laparoscopically harvested omental free flap to cover a large soft tissue defect', Annals of Surgery, vol. 217, no. 5, pp. 542-547.
Saltz R, Stowers R, Smith M, Gadacz TR. Laparoscopically harvested omental free flap to cover a large soft tissue defect. Annals of Surgery. 1993 May;217(5):542-547.
Saltz, Renato ; Stowers, Robert ; Smith, Michael ; Gadacz, Thomas R. / Laparoscopically harvested omental free flap to cover a large soft tissue defect. In: Annals of Surgery. 1993 ; Vol. 217, No. 5. pp. 542-547.
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