Document Detail


The nutrient omentum free flap: revascularization with vein bypasses and greater omentum flap in severe arterial ulcers.
MedLine Citation:
PMID:  17398396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Microvascular transfer of the omentum provides well-vascularized and pliable tissue but has not widely been used in vascular extremity reconstruction because of the potentially high donor site morbidity caused by the necessary laparotomy. Laparoscopic minimally invasive harvest of a free greater omentum flap and microsurgical transfer of this tissue with split skin grafts on top and connected to sequential vein bypasses may be a an interesting new modality when other reconstructive options are absent or scarce. We report this novel technique in a patient with arterial occlusive disease and an extensive and circular ulcer of the lower extremity.
Authors:
Raymund E Horch; Thomas Horbach; Werner Lang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  45     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-02     Completed Date:  2007-05-17     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  837-40     Citation Subset:  IM    
Affiliation:
Department of Plastic and Hand Surgery, University Hospital Erlangen, Erlangen, Germany. horchrd@chir.imed.uni-erlangen.de <horchrd@chir.imed.uni-erlangen.de>
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MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / complications*,  pathology,  surgery
Female
Humans
Laparoscopy
Leg Ulcer / etiology,  pathology,  physiopathology,  surgery*
Limb Salvage / methods*
Lower Extremity / blood supply*
Microcirculation
Omentum / blood supply,  transplantation*
Peripheral Vascular Diseases / complications*,  pathology,  surgery
Severity of Illness Index
Skin Transplantation
Surgical Flaps*
Tissue and Organ Harvesting
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures
Wound Healing

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


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