Document Detail


Extraperitoneal mobilization of the omentum--analysis of a personal series of 12 patients.
MedLine Citation:
PMID:  23116835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P V H Botianu; V Damian; S Ionicã; O R Lucaciu; A M V Botianu; A M Botianu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chirurgia (Bucharest, Romania : 1990)     Volume:  107     ISSN:  1221-9118     ISO Abbreviation:  Chirurgia (Bucur)     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-11-02     Completed Date:  2013-01-31     Revised Date:  2013-07-22    
Medline Journal Info:
Nlm Unique ID:  9213031     Medline TA:  Chirurgia (Bucur)     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  611-5     Citation Subset:  IM    
Copyright Information:
RevistaChirurgia.
Affiliation:
Surgical Department 4, University of Medicine and Pharmacy, Targu-Mures, Romania. botianu_alexandru@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Bronchial Fistula / etiology*,  surgery
Female
Follow-Up Studies
Humans
Laparoscopy
Laparotomy
Lung Neoplasms / surgery
Male
Middle Aged
Omentum / transplantation*
Pneumonectomy / adverse effects*
Reconstructive Surgical Procedures / methods*
Rectal Neoplasms / surgery
Retrospective Studies
Risk Assessment
Survival Analysis
Thoracotomy
Treatment Outcome
Comments/Corrections
Erratum In:
Chirurgia (Bucur). 2013 May-Jun;108(3):6 p following 428

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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