Document Detail

Transdiaphragmatic omental harvest: a simple, efficient method for sternal wound coverage.
MedLine Citation:
PMID:  23142938     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The greater omentum is easily harvested for coverage of sternal wounds without muscle sacrifice. Its major disadvantage is a laparotomy incision with potential bowel injury, adhesions, or hernia. Over the past 20 years, the authors' technique has evolved to use a transdiaphragmatic opening for omental harvest when possible.
METHODS: The authors performed a retrospective cohort analysis of 140 consecutive patients undergoing omental flap harvest for treatment of sternal wounds following median sternotomy. Patients were divided into two groups by access incision: laparotomy incision (n = 80) versus a transdiaphragmatic opening (n = 60).
RESULTS: The authors found that both techniques provided reliable closure of sternal wounds, but the transdiaphragmatic approach was faster, with less blood loss. There was no significant difference in rates of ventral hernias. We had only one bowel injury (laparotomy group) and no postoperative abdominal bleeding or small bowel obstruction.
CONCLUSION: Transdiaphragmatic omental harvest provides safe and efficient coverage of deep sternal wounds without a laparotomy incision.
Raj M Vyas; Adnan Prsic; Dennis P Orgill
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  131     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-01     Completed Date:  2013-04-22     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  544-52     Citation Subset:  AIM; IM    
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MeSH Terms
Cohort Studies
Middle Aged
Omentum / transplantation*
Reconstructive Surgical Procedures / methods*
Retrospective Studies
Tissue and Organ Harvesting / methods*
Wound Closure Techniques*
Comment In:
Plast Reconstr Surg. 2013 Dec;132(6):1073e   [PMID:  24281619 ]
Plast Reconstr Surg. 2013 Dec;132(6):1074e   [PMID:  24281620 ]

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

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