Extraperitoneal mobilization of the omentum--analysis of a personal series of 12 patients.
| Autor: | Botianu PV; Surgical Department 4, University of Medicine and Pharmacy, Targu-Mures, Romania. botianu_alexandru@yahoo.com, Damian V, Ionicã S, Lucaciu OR, Botianu AM, Botianu AM |
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| Jazyk: | angličtina |
| Zdroj: | Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2012 Sep-Oct; Vol. 107 (5), pp. 611-5. |
| Abstrakt: | Objective: The aim of the paper is to evaluate the results achieved after mobilization of the omentum outside the peritoneal cavity. Material and Method: Between 01.01.2006-01.01.2012, the main author has performed an extraperitoneal mobilization of the omentum in 12 patients. The indications for the use of this flap were: prophylactic filling of the remnant space after the Miles procedure - 4 cases, solving of some pelvisubperitoneal and perineal complications after rectal surgery - 3 cases, covering of vascular prosthesis - 3 cases (2 of them with active infection) and closure of a post-pneumonectomy bronchial fistula - 1 case. The mobilization of the flap was performed by laparotomy - 10 cases, by laparoscopy - 1 case and transdiaphragmatic (thoracotomy) - 1 case; all the procedures were performed by the same team, with no assistance on behalf of a plastic surgeon. Results: We have encountered one immediate postoperative death through myocardial infarction on postoperative day 12 (vascular prosthesis infection in a 75 years old patient). Based on the clinical and imagistic evaluation, we have encountered no necrosis of the omental flap. At late follow-up (1-5 years) we have encountered no significant complications related to the use of this flap. Conclusions: The omentum is a solution for a great variety of defects located outside the peritoneal cavity; it's mobilization is relatively simple and does not involve a major morbidity. Knowledge of the omentum's anatomy and techniques of mobilization are mandatory in digestive, thoracic and vascular surgery. (RevistaChirurgia.) |
| Databáze: | MEDLINE |
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