Use of the Omentum Flap as Additional Soft-Tissue Cover for Abdominal Wall Defects Reconstructed with Gore-Tex

Wong, Chin‐Ho; Tan, Bien‐Keem; Koong, Heng Nung; Lim, Chae-Young; Chia, Sing-Joo; Song, Colin

doi:10.1097/01.prs.0000185664.33079.5d

Cited by 13 publications

(8 citation statements)

References 10 publications

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“…This has been described with a muscle splitting dissection lateral to the semilunar line, bringing out the omental pedicle in an oblique direction. 12 Utilizing purely autologous tissues, as we did, avoids most of the complications of the other techniques. It is readily available, is relatively cost-effective, especially advantageous in the developing country, and is less technically demanding.…”

Section: Discussionmentioning

confidence: 89%

“…The presence of the liver on the right side may have prevented the herniation. 12 Tunneling the omental flap subcutaneously to the recipient site through an adjacent but separate opening through muscle may also have prevented the herniation. This has been described with a muscle splitting dissection lateral to the semilunar line, bringing out the omental pedicle in an oblique direction.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of a complex anterior abdominal wall defect with autologous tissues – a case report

Odeyinde¹,

Ademola²,

Oluwatosin³

2011

Nigerian Journal of Plastic Surgery

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Background:The anterior abdominal wall is an important complex composite structure that poses a challenge to the reconstructive surgeon. Defects produced from infection, herniation, tumour extirpation or trauma, are often encountered. Different techniques of reconstruction have been described using autologous tissues and prosthetic material with varying results, availability and cost implications. The use of totally autologous tissues presents a readily available reconstructive option that has been shown to be associated with a satisfactory outcome and low morbidity. In this report, we describe the use of autologous tissues for the reconstruction of a major abdominal wall defect. Method: This communication describes our experience of the use of purely autologous tissues for a full thickness anterior abdominal wall defect, presented as a case report. Result: The initial result that was obtained confirms that this is a useful technique with a satisfactory outcome with minimal morbidity. Conclusion: Utilizing purely autologous tissues, avoids most of the complications of the other techniques, is readily available, relatively cost-effective (especially advantageous in the developing country) and is less technically demanding.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Reconstruction of a complex anterior abdominal wall defect with autologous tissues – a case report

Odeyinde¹,

Ademola²,

Oluwatosin³

2011

Nigerian Journal of Plastic Surgery

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“…The pedicled omentum is an autogenic tissue flap with plentiful blood vessels and connective and lymphatic tissues (42). It has been a special option to reconstruct the abdominal wall, because of its well-off blood supply and immunologic properties (43). By using the omental flap as an interpositional flap, we harness these properties to facilitate wound healing and to promote remodeling of HADM after implantation.…”

Section: A N U S C R I P Tmentioning

confidence: 99%

Abdominal wall reconstruction using a combination of free tensor fasciae lata and anterolateral thigh myocutaneous flap: a prospective study in 16 patients

Lv¹,

Cao²,

Guo³

et al. 2015

The American Journal of Surgery

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“…[5,6] Adsorbable mesh can be used in these situations; however, this solution is temporary and predisposes the patient to multiple operations and a staged abdominal wall reconstruction to achieve an acceptable functional result (sometimes, the very high operative risk precludes a two-stage surgical procedure [7] ). A number of techniques such as component separation, [8] musculocutaneous [9,10] or pedicled omentum [11][12][13] flaps have been suggested as a good alternative for autologous tissue repair, but the size of the defect often limit such possibilities, and the potential risk for donor site morbidity should be taken into account. [14] Recently, the development of biologic meshes has shown successful rates in the management of these parietal wall defects.…”

Section: Introductionmentioning

confidence: 99%

Complex abdominal wall repair using a combination of porcine dermal matrix and omentum flap in patient with digestive tract fistula: report of a case and review of the literature

Bartoli

Baiocchi

Celotti

et al. 2016

CRCP

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Purpose: The purpose of this article is to propose an effective approach for giant abdominal wall defects repair in a contaminated field, using a combination of porcine dermal collagen graft (Permacol) and omental interpositional flap. Case: We report a case of a 41-year-old woman submitted to emergency laparotomy, splenectomy and hepatic haemostasis for massive hemoperitoneum. She developed enteric fistula, cutaneous, muscolar and fascial necrosis leading to evisceration. At the fourth intervention we finally reconstructed abdominal wall defect using a combination of Parmacol and omental flap. Conclusion: The reconstruction of large, full-thickness, eventually contaminated abdominal wall defects is often a challenging undertaking. Similar difficulties are usually encountered with early abdominal wall closure after damage-control surgery and/or open-abdomen management. In these situations the use of synthetic mesh is contrindicated; adsorbable mesh can be used as temporary solution and some techniques of autologous tissue repair have been suggested. Therefore no ideal operative repair technique or prosthetic material for reconstruction of the fascial defect is currently available in the literature. Recently, the development of biologic meshes has shown successful rates in the management of these parietal wall defects. Also in this patient, porcine dermal collagen mesh combined with omental flap allowed us to reconstruct large abdominal wall defect.

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Use of the Omentum Flap as Additional Soft-Tissue Cover for Abdominal Wall Defects Reconstructed with Gore-Tex

Cited by 13 publications

References 10 publications

Reconstruction of a complex anterior abdominal wall defect with autologous tissues – a case report

Reconstruction of a complex anterior abdominal wall defect with autologous tissues – a case report

Abdominal wall reconstruction using a combination of free tensor fasciae lata and anterolateral thigh myocutaneous flap: a prospective study in 16 patients

Complex abdominal wall repair using a combination of porcine dermal matrix and omentum flap in patient with digestive tract fistula: report of a case and review of the literature

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