Surgical technique for omental lengthening based on arterial anatomy

Alday, Edgardo S.; Goldsmith, Harry S.

doi:10.1097/00006534-197303000-00058

Cited by 19 publications

(28 citation statements)

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“…Further lengthening is possible with precise knowledge of the five major variants of the vascular arcades in the omentum itself [15]. When the left gastro-epiploic vessels are used as pedicle, as is often the case when the omentum is endoscopically obtained, a mirror image of the original, partial division patterns of the apron to obtain additional length, as was described by Alday and Goldsmith [21], will be required. In all our cases, sufficient length and bulk was obtained by detaching the omentum from the transverse colon and stomach only, without further omental division.…”

Section: Discussionmentioning

confidence: 99%

The laparoscopically harvested omental flap for deep sternal wound infection

Wingerden

Coret

Nieuwenhoven

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 99%

The laparoscopically harvested omental flap for deep sternal wound infection

Wingerden

Coret

Nieuwenhoven

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…A standard surgical technique was used 34. In most cases there was little difficulty in obtaining a sufficient length of omentum to graft to the injured cord.…”

Section: Discussionmentioning

confidence: 99%

Prospective study of omental transposition in patients with chronic spinal injury

Duffill¹

2001

Journal of Neurology, Neurosurgery &Amp; Psychiatry

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Objectives-This prospective study was designed to assess the eVects of omental transpostion in patients with a chronic spinal injury. Methods-Neurological status was established to be stable and multiple baseline across patient studies were done preoperatively and repeated postoperatively. Assessments included activities of daily living (ADL), functional ability, degree of spasticity, motor power, sensation, pain perception, urodynamic studies, electromyography, sensory evoked potentials (SEPs), and infrared thermography to measure peripheral and general skin vascular responses. Each patient had MRI. Assessments were done at 3, 6, and 12 months after omental transposition in 17 patients. Results-The detailed assessments failed to show significant improvement, although some patients showed minor objective and subjective change in some categories. Neurological deterioration occurred in one patient. There were 20 surgical complications including urinary tract infection, deep vein thrombosis, wound infection, and incisional hernia. Conclusions-Omental transposition has not been shown to improve neurological function in 17 patients with chronic spinal cord injury, and continued use of this operation in this situation is not supported by this study. Further advances in spinal cord repair may utilise the pedicled omental graft to provide an alternative vascular supply, but its current use should be limited to experimental models. (J Neurol Neurosurg Psychiatry 2001;71:73-80)

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“…At laparotomy, the omentum was lengthened by a method previously reported 3 and brought out of the peritoneal cavity at the upper end of the abdominal incision. The elongated pedicled omentum, which was vascularized mainly by way of the right gastroepiploic artery, was then passed through a subcutaneous tunnel across the chest wall, along the side of the neck and brought out behind the ear near the proposed craniotomy flap.…”

Section: Methodsmentioning

confidence: 99%

Omental transposition to brain of stroke patients.

Goldsmith¹,

Saunders²,

Reeves³

et al. 1979

Stroke

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SUMMARY The intact omentum was transposed to the surface of the brain in three aphasic patients who had stabilized following a dominant hemisphere ischemic stroke. The procedure was found to be safe, causing little physical disfigurement. Subjective and objective improvement in these patients, who are on a strict experimental protocol, has provided encouragement to continue this study in a deliberate and critical manner.

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Surgical technique for omental lengthening based on arterial anatomy

Cited by 19 publications

References 0 publications

The laparoscopically harvested omental flap for deep sternal wound infection

The laparoscopically harvested omental flap for deep sternal wound infection

Prospective study of omental transposition in patients with chronic spinal injury

Omental transposition to brain of stroke patients.

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