Laparoscopic Mobilization of an Omental Flap for Reconstruction of an Infected Sternotomy Wound
| Autor: | Brian Boyd, Abhay Gupta, S. Avital, Raul J. Rosenthal, Oscar Brasesco, D. Rosin, Alan A. Saber |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Thorax Sternum medicine.medical_specialty medicine.medical_treatment Abdominal cavity Dissection (medical) Surgical Flaps Laparotomy medicine Humans Surgical Wound Infection Thoracic Wall Laparoscopy Aged Aged 80 and over medicine.diagnostic_test business.industry medicine.disease Surgery body regions Plastic surgery surgical procedures operative medicine.anatomical_structure business Omentum Thoracic wall |
| Zdroj: | Annals of Plastic Surgery. 49:307-311 |
| ISSN: | 0148-7043 |
| Popis: | The omentum is used for reconstruction of intra- and extra-abdominal wounds because of its high vascularity and immunological properties. It is used most often in patients in whom sternal wound infection develops after coronary artery bypass grafting. The major drawback of using the omentum is the necessity of performing a laparotomy to dissect and mobilize it to the thorax. The authors report their experience with an 81-year-old man, on whom they performed laparoscopic dissection and mobilization of the omentum, and transfer of the omentum based on its blood supply from the left gastroepiploic artery to reconstruct an infected sternal wound. The current literature is reviewed as well. The authors conclude that obtaining an omental flap via a laparoscopic approach is feasible and safe. It should be considered whenever an omental flap is needed outside the abdominal cavity. This approach mandates close collaboration between the plastic and the laparoscopic surgeons. |
| Databáze: | OpenAIRE |
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