Laparoscopically harvested omental flap: results for 96 patients

Zaha, Hisamitsu; Inamine, Susumu

doi:10.1007/s00464-009-0533-0

Cited by 64 publications

(54 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The traditional open approach to omental flap harvest is prone to laparotomy-associated morbidities (Garderen Van, Wiggers & Van Geel, 1991). The laparoscopic approach, however, allows faster harvest with less donor-site morbidity (Salz, Stowers, Smith & Gadacz, 1993;Zaha & Inamine, 2010). Postoperative pain and therefore postoperative analgesia requirements are also decreased.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative pain and therefore postoperative analgesia requirements are also decreased. In addition, the patient usually resumes food intake and ambulation the day after surgery (Zaha & Inamine, 2010). Nevertheless, complications such as injuries of the pedicle, partial graft necrosis, incisional hernia, peritonitis, injury to intra-abdominal organs, ileus or bowel obstruction, hemorrhage and wound infection have been reported in large series of laparoscopic omental flap harvest (Salz, Stowers, Smith, & Gadacz, 1993;Zaha & Inamine, 2010).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Double gastroepiploic vascularized lymph node tranfers to middle and distal limb for the treatment of lymphedema

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Double gastroepiploic vascularized lymph node tranfers to middle and distal limb for the treatment of lymphedema

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Alternatives include mobilisation of axillary tissue on a thoracodorsal artery perforator lipodermal flap [7] or use of intercostal artery perforator flaps [66]. One novel approach adopted in our unit is to laparoscopically harvest an omental flap (Figures 5(a) and 5(b)) to fill the local defect [67]. Whereas pedicled flaps usually withstand radiotherapy, albeit with a substantial rate of complications, the use of free flaps in this context is contraindicated.…”

Section: Optimising Cosmesis After Extensive Excision Of 20–40% Ofmentioning

confidence: 99%

Breast Conservation Surgery: State of the Art

White

Achuthan

Turton

et al. 2011

International Journal of Breast Cancer

View full text Add to dashboard Cite

Breast conservation surgery is available to the vast majority of women with breast cancer. The combination of neoadjuvant therapies and oncoplastic surgical techniques allows even large tumours to be managed with a breast-conserving approach. The relationship between breast size and the volume of tissue to be excised determines the need for volume displacement or replacement. Such an approach can also be used in the management of carefully selected cases of multifocal or multicentric breast cancer. The role of novel techniques, such as endoscopic breast surgery and radiofrequency ablation, is yet to be precisely defined.

show abstract

“…When immediate breast reconstruction using omental flaps was initially introduced, it was not actively performed because it required a laparotomy that left a large abdominal scar. However, recent advances in minimally invasive surgery have enabled surgeons to obtain an omental flap laparoscopically with less donor‐site deformity . Successful breast reconstruction using autologous tissue depends on flap viability.…”

Section: Introductionmentioning

confidence: 99%

Near‐infrared image‐guided laparoscopic omental flap for breast cancer

Park

Suh

Park

et al. 2019

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Background Near‐infrared (NIR) imaging with indocyanine green (ICG)‐enhanced fluorescence is widely used in laparoscopic surgery. This study aimed to evaluate this technique's feasibility and usefulness in intraoperatively assessing vascular perfusion in a laparoscopically harvested omental flap. Materials and Surgical Techniques From March 2015 to February 2016, we prospectively evaluated patients undergoing breast cancer surgery followed by immediate breast reconstruction using a laparoscopically harvested omental flap. After laparoscopic preparation of the pedicled graft, the perfusion area of the omental graft was evaluated by using intraoperative Doppler ultrasonography and NIR imaging with intravenous ICG injection. Graft viability was evaluated by using Doppler ultrasonography 2 days postoperatively; for cosmetic outcome, Breast Cancer Conservative Treatment Cosmetic Results software was used 1 month postoperatively. Discussion The laparoscopic harvesting of an omental flap was successfully performed in eight patients without conversion to open surgery. The mean time to the initial detection of ICG‐enhanced fluorescence uptake was 3.25 ± 1.16 minutes. On intraoperative Doppler ultrasonography, a pulseless area ≥10% was detected in five patients (62.5%). However, NIR imaging revealed no patients had an ischemic portion ≥10%. There were no ICG‐related intraoperative or postoperative complications. All patients showed patent vessels on Doppler ultrasonography 2 days postoperatively. Cosmetic outcomes were mostly favorable 1 month postoperatively. The Breast Cancer Conservative Treatment Cosmetic Results evaluation 1 month postoperatively showed excellent, good, and fair results, with no poor scores. With regard to vascular perfusion, ICG‐enhanced NIR imaging is a feasible and useful tool for harvesting a laparoscopic omental flap in breast cancer patients.

show abstract

Laparoscopically harvested omental flap: results for 96 patients

Abstract: As a safe and minimally invasive procedure, LHOF has a low incidence of short- and long-term complications. This technique can expand the indications and usefulness of the omental flap.

Cited by 64 publications

References 17 publications

Double gastroepiploic vascularized lymph node tranfers to middle and distal limb for the treatment of lymphedema

Double gastroepiploic vascularized lymph node tranfers to middle and distal limb for the treatment of lymphedema

Breast Conservation Surgery: State of the Art

Near‐infrared image‐guided laparoscopic omental flap for breast cancer

Contact Info

Product

Resources

About