A Case Series of Microvascular Omental Flap : Indications and Outcomes | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 31 October 2021 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2021.96860.1112 | ||
| Author | ||
| suhael zahur* | ||
| Aesthetica clinic Jammu and kashmir india | ||
| Abstract | ||
| Background-: Microvascular omental flap has the distinction of being the foremost flap to be applied in the field of reconstructive microsurgery. Despite the keen initial interest ,the drawback of a harvest laparotomy led to gradual loss of favour in this flap. It was the pathbreaking application of minimal access surgery for flap harvest, that led to a renewed interest in omental flap in its new incarnation. In this case series of laparoscopically harvested microvascular omental transfers, we explore the flap’s unique immunologic and tissue regenerative properties and resulting outcomes in challenging reconstructive situations and limb salvage. Methods-: A retrospective analysis of microvascular reconstructions with laparoscopically harvested omental flaps in ten challenging situations.The study evaluated the indications, procedural details such as operative technique and time, length of flap vascular pedicle achieved, complications and outcome. Results-: Provision of vascularised and stable soft tissue cover with swift resolution of infection in chronic wounds was achieved in all cases leading to reduced long term morbidity with negligible complications. Conclusion-: Microvascular omental flap provides large pliable tissue with characteristic vascular anatomy and unique set of immune and stem cells that has immense application in situations of complex three-dimensional reconstruction and limb salvage. Together with the laparoscopic-assisted harvest to avoid the morbidity of laparotomy, it presents an effective solution for those challenging situations that demand more than the routine options. | ||
| Keywords | ||
| microvascular omental flap; omentum; omental transfer; chronic osteomyelitis | ||
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