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KMID : 0378019830260040075
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New Medical Journal
1983 Volume.26 No. 4 p.75 ~ p.81
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Free Omental Transplantation Revascularized by Microvascular Anastomoses
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Abstract
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When standard techniques of reconstructive surgery cannot be used as a result of the unavailability of tissue, inappropriateness of available tissue, or excessive morbidity in the donor area, greater omentum may be used as an acceptable donor tissue because of its rich vascular and. lymphatic networks and its facility for accepting free skin-graft.
Samson and Pasternak(1979) have given an up-to-date discussion of the surgical use of the greater omentum which is a most dependable structure for reconstruction not only ´in the abdominal cavity but also in numerous extracoelomic locations.
Since McLean and Buncke(1972) transferred omentum to the scalp to resurface large defect with microsurgical techniques, omental free flaps have been used in various reconsttructive procedures.
We present two cases in which the use of omental free flap seemed to be a reasonable choice. We used greater omentum to repair large denuded scalp defect and chronic intractable ulcerating skin lesions involving one half of the right lower leg. The omental flaps were revascularized by end-to-end anastomosis between right gestroepiploic vessels and left superficial temporal vessels in former patient and by end-to- side anastomosis beween right gastroepiploic vessels and right popliteal vessels in the latter. They were successfully covered with split-thickness skin grafts, and the results were satisfactory in both cases.
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