Pedicled omental transfer for limb salvage in Buerger’s disease

Buerger’s Disease (Thromboangiitis Obliterans)- Management by Ilizarov’s Technique of Horizontal Distraction. A Retrospective Study of 60 Cases

“…Graft failure is high [22] but can be attempted with impending gangrene and a target vessel [23]. Profoundoplasty has been done with some success especially with adequate ankle flow [24].…”

What are the short‐ and long‐term abdominal consequences of an omentectomy? A systematic review

“…Twenty-one studies were included that reported on extra-peritoneal omental pedicles or free flaps (Table 3). Indications for reconstructions varied widely and consisted of breast reconstruction, 24,30,32,33,35,37,40 thoracic reconstruction, [20][21][22]28,31,38 head and neck reconstruction, 26 cardiothoracic surgery, 27 lymphatic flap transfer, 29,34 lower extremity reconstruction for Buerger disease 23 and a combination. 25 Follow-up ranged between 14 months and a maximum of 8.5 years.…”

“…30,33 3.7 | Short-term outcome Short-term complications mainly consisted of postoperative ileus, abdominal wound infections and wound dehiscence and the occurrence varied between 0.7% and 23%. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]39,40 Most of the complications were temporary but one of the patients died due to progressive peritonitis. 20 Lee et al also reported a significantly higher pulmonary complication rate after an omentectomy for gastric cancer compared to patients with a partial omentectomy.…”

The Omentum: Anatomical, Metabolic, and Surgical Aspects

“…70,71 One of the major contributing factors is that the pelvis acts as a physiological dead space where fluid can accumulate and provide a medium for bacterial growth and subsequent abscess formation. It is suggested that omentoplasty in APR does Alzheimers's disease, Moyamoya disease, spinal cord transaction Urology 86 Management of complex urinary fistula Gynecology 87,88 J-flap following radical abdominal hysterectomy Vascular Surgery [89][90][91][92] Extremity revascularization in Buerger's disease, aortic interposition graft following aortoenteric fistula confer benefit, but this evidence is either from case series or small number cohort studies lacking adequate controls. In a review of omentoplasty in APR, 72 Nilsson reported statistically improved perineal healing rates with omentoplasty; however, the lack of a suitable randomized controlled trial means that a meaningful conclusion cannot be drawn.…”

“…85 In other surgical disciplines, successful cases of omental transposition have been described in the fields of neurosurgery, gynecology, urology, and vascular surgery (Table 3). [86][87][88][89][90][91][92][93][94] Future Prospects…”