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Omental free flaps

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https://www.readbyqxmd.com/read/28580729/laparoscopic-harvest-of-the-gastro-omental-free-flap-for-reconstruction-after-total-pharyngolaryngectomy-operative-technique
#1
Steven J Craig, Alexander Zhang, Trevor D Gardner, Jonathan R Clark, Bruce G Ashford
Circumferential defects following salvage pharyngolaryngectomy present significant challenges in reconstructive surgery. The gastro-omental free flap has been shown to reduce the incidence of major fistula and catastrophic complications. The current technique for harvest of the flap requires laparotomy, which is potentially associated with significant post-operative complications. Laparoscopic harvest of the gastro-omental free flap can negate some of the risks associated with open surgery. We describe here the operative technique for laparoscopic gastro-omental free flap harvest for use in reconstruction following total pharyngolaryngectomy...
June 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28530627/-laparoscopic-treatment-of-retroperitoneal-fibrosis
#2
Carlos Hernández Fernández, David Subirá Rios, Mercedes Moralejo Gárate, Elena Rodríguez Fernández, Jorge Caño Velasco, Felipe Herranz Amo
Retroperitoneal fibrosis is a disease that may condition a severe involvement of various organs, mainly upper urinary tract, even causing renal insufficiency. It was first described by Albarran in 1905 and it is also known as Ormonds disease. The correct diagnosis includes, in many cases, the performance of one or more tests: CT scan, MRI, renal scan, etc. It is often necessary the insertion of double J catheters on percutaneous nephrostomy tubes with the aim to preserve renal function. Initial treatment is medical, based on corticoids, and , less frequent, immunosuppressive or chemotherapy drugs...
May 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28507857/greater-omental-lymph-node-flap-for-upper-limb-lymphedema-with-lymph-nodes-depleted-patient
#3
Yu-Ying Chu, Robert J Allen, Ting-Jung Wu, Ming-Huei Cheng
BACKGROUND: The greater omentum is supplied by the right, middle, and left omental arteries, which arise from the right and left gastroepiploic arteries. All or part of the greater omentum can be harvested based on this blood supply for free tissue transfer. It has stimulated new interest in its use as the donor site in the treatment of lymphedema. For patients who have failed other management options or have limited peripheral lymph node donor sites, the greater omental lymph node flap may offer the best chance for lymphedema treatment...
April 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28502080/the-contemporary-role-of-ureterolysis-in-retroperitoneal-fibrosis-rpf-treatment-of-last-resort-or-first-intent-an-analysis-of-50-cases
#4
Tim O'Brien, Archie Fernando
OBJECTIVE: To determine the outcomes of open ureterolysis in a contemporary cohort of patients presenting with ureteric obstruction secondary to retroperitoneal fibrosis (RPF). PATIENTS AND METHODS: Prospective analysis of 50 patients undergoing open ureterolysis and omental wrap between January 2012 and January 2016 in a single centre managed by a multi-disciplinary RPF team. Minimum follow up of 1 year. Indications were: nephrostomy-dependent drainage (n=5); stent failure as evidenced by persistent hydronephrosis (n=20); severe stent symptoms (n=22); and patient choice/pre-emptive (n=3)...
May 14, 2017: BJU International
https://www.readbyqxmd.com/read/28400139/recurrent-tracheoesophageal-fistula-repair-with-gastro-omental-free-flap-in-an-irradiated-patient
#5
Juan Maria Viñals Viñals, Pau Tarrús Bozal, Jose Maria Serra-Mestre, Oriol Bermejo Segú, Julio Nogués Orpí
No abstract text is available yet for this article.
April 8, 2017: Cirugía Española
https://www.readbyqxmd.com/read/28321385/the-laparoscopically-harvested-omental-free-flap-a-compelling-option-for-craniofacial-and-cranial-base-reconstruction
#6
Peter D Costantino, David Shamouelian, Tristan Tham, Robert Andrews, Wojciech Dec
Background Management of craniofacial and cranial base tumors is a challenge due to the anatomic intricacies associated with the calvarium, the pathological diversity of lesions that present, and the potential complications. Clinical outcomes in laparoscopically harvested omentum free flaps for cranial base and craniofacial reconstruction are presented in this paper, in the largest case series to date. Methods A retrospective single-center experience for over 10 years with laparoscopically harvested omentum flaps used to reconstruct craniofacial and cranial base defects...
April 2017: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27783425/the-laparoscopically-harvested-omentum-as-a-free-flap-for-autologous-breast-reconstruction
#7
Tert C van Alphen, Maarten R Fechner, Jeroen M Smit, Gerrit D Slooter, Coralien L Broekhuysen
BACKGROUND: In autologous breast reconstruction, abdominal based flaps are by far the most common choice from the wide range of free flaps available. In selected cases, a laparoscopically harvested omental free flap (LHOFF) can be used. Patient satisfaction has not been reported until now. In this article, we report our experience using LHOFF in breast reconstruction including our technique, patient satisfaction, and donor/recipient site complications. PATIENTS AND METHODS: Between 2007 and 2014, six patients underwent autologous breast reconstruction with LHOFF...
October 26, 2016: Microsurgery
https://www.readbyqxmd.com/read/27439587/long-term-outcomes-of-the-minimally-invasive-free-vascularized-omental-lymphatic-flap-for-the-treatment-of-lymphedema
#8
Alexander T Nguyen, Hiroo Suami, Matthew M Hanasono, Veda A Womack, Franklin C Wong, Edward I Chang
BACKGROUND: The free vascularized omental lymphatic flap provides an option without the risk for iatrogenic donor site lymphedema that plagues alternative lymph node transfer donor sites. The omental flap has been associated with significant morbidity in the past; however, with modern techniques and advanced in technology, a minimally invasive approach to flap harvest is feasible. We present the long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema...
January 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27250921/pudendal-neuralgia-after-pelvic-surgery-using-mesh-case-reports-and-laparoscopic-pudendal-nerve-decompression
#9
Eyup Burak Sancak, Egemen Avci, Tibet Erdogru
Persistent pain after vaginal mesh surgery is a rare and agonizing entity that has devastating consequences for the patient's quality of life. Many etiologies have been blamed including nerve injuries and entrapments. Pudendal neuralgia is a rare chronic neuropathic pain syndrome in the anatomical territory of the pudendal nerve. Various treatment options, such as medication management, physiotherapy, nerve blocks, decompression surgery and neuromodulation, have been used, but the most appropriate treatment for pudendal neuralgia has not yet been determined...
September 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/27238991/omental-flow-through-flap-experimental-hemodynamic-study
#10
Nicla Settembre, Sergueï Malikov
BACKGROUND: The omental flow-through flap (OFTF) is based on the use of an anatomic unit composed of the right gastro-omental artery (bypass) with its omental branch or branches supplying the greater omentum (flap). The greater omentum flap is known for its capacity of resistance to infection, for its use in the treatment of ischemic lesions and as a high-flow tissue. Several hypotheses regarding the hemodynamic behavior of a distal bypass with a flap were discussed in the literature...
October 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27102415/utilisation-of-the-falciform-ligament-pedicle-flap-as-an-alternative-approach-for-the-repair-of-a-perforated-gastric-ulcer
#11
Mohamed Boshnaq, Amit Thakrar, Iana Martini, Samer Doughan
An 83-year-old woman presented to the emergency department with sudden onset of severe abdominal pain. She had a background of ulcerative colitis managed surgically at the age of 18 years with panproctocolectomy and permanent ileostomy. On admission, clinical assessment suggested a visceral perforation and an urgent CT scan demonstrated a perforated prepyloric ulcer. Emergency laparotomy was performed and confirmed a 3 cm perforated pre-pyloric ulcer. Repair of the defect was challenging due to the absence of omental fat to patch the perforation...
April 21, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26919382/arteriovenous-loop-independent-free-flap-reconstruction-of-sternal-defects-after-cardiac-surgery
#12
Ulf Dornseifer, Charlotte Kleeberger, Denis Ehrl, Frank Herter, Milomir Ninkovic, Igors Iesalnieks
Background Sternal defects following deep wound infections are predominantly reconstructed using local and regional flaps. The lack of appropriate recipient vessels after cardiac surgery may explain the minor role of free flaps. To date, arteriovenous loops have been the leading solution to enable microsurgical closure of these defects. However, the related surgical effort and the risk of flap failure are increased. We reviewed our experiences with the right gastroepiploic vessels as alternative recipient vessels for free flap reconstructions...
September 2016: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/26831037/change-of-paradigm-in-thoracic-radionecrosis-management
#13
S Dast, N Assaf, L Dessena, H Almousawi, C Herlin, P Berna, R Sinna
Classically, muscular or omental flaps are the gold standard in the management of thoracic defects following radionecrosis debridement. Their vascular supply and antibacterial property was supposed to enhance healing compared with cutaneous flaps. The evolution of reconstructive surgery allowed us to challenge this dogma. Therefore, we present five consecutive cases of thoracic radionecrosis reconstructed with cutaneous perforator flaps. In four patients, we performed a free deep inferior epigastric perforator (DIEP) flap and one patient had a thoracodorsal perforator (TDAP) flap...
June 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/26557946/total-scalp-excision-and-reconstruction-using-a-free-omental-flap
#14
Kyra Sierakowski, Nicholas S Solanki, Peter Riddell
No abstract text is available yet for this article.
2015: Eplasty
https://www.readbyqxmd.com/read/26473796/free-antropyloric-valve-flap-for-end-stage-fecal-incontinence-as-a-substitute-to-permanent-colostomy
#15
Brijesh Mishra, Abhijeet Chandra, Somashekar Gejje, M Noushif, Divya N Upadhyay, Nalini Mishra
BACKGROUND: Surgical removal of the anal canal and sphincter for carcinoma results in end-stage fecal incontinence (ESFI) and requires a permanent colostomy resulting in significant impact on quality of life. Presently, there are limited options for EFSI. The successful use of pedicled antropyloric valve (APV) based on left gastroepiploic artery as an alternative to permanent colostomy has previously been described. It is based on a long omental pedicle which at times is risky and is difficult to perform...
March 2016: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/26140609/flow-through-omental-flap-to-free-anterolateral-thigh-flap-for-complex-chest-wall-reconstruction-case-report-and-review-of-the-literature
#16
REVIEW
Anna Luan, Michael G Galvez, Gordon K Lee
Despite the options currently available for chest wall reconstruction, patients with complex composite defects may still pose a significant challenge for the reconstructive surgeon when only using conventional methods. In particular, prior radiotherapy and/or large en bloc resection may leave inadequate regional flaps and recipient vessels for free tissue transfer. Here, we describe a case in which we reconstruct a 14 cm × 18 cm complex chest wall defect, secondary to tumor resection and infected sternum debridement, with a pedicled flow-through omental flap to a 14 cm × 22 cm free anterolateral thigh flap using the omental gastroepiploic vessels as recipient vessels...
January 2016: Microsurgery
https://www.readbyqxmd.com/read/26137151/omental-transplantation-improves-surgical-outcome-of-large-squamous-cell-carcinoma-a-case-report
#17
Xianan Li, Zhengxiao Ouyang, Shuo Yang, Zanjing Zhai, Haowei Li, Zhong-Cheng Kang, Zan Li
Cutaneous squamous cell carcinoma (SCC) is an major health issue due to the significant health costs and marked disfigurement following surgical excision. The conventional reconstructive options may not be suitable for patients with large SCCs of the lower part of the leg, due to the regional tissue damage and ischemic environment. The omental transposition flap is a highly vascularized tissue that is resistant to infection and provides a recipient bed for skin grafts. This is the case report of a male patient with a large SCC in the lower part of his right leg, which was treated with extensive resection...
June 2015: Oncology Letters
https://www.readbyqxmd.com/read/26111317/laparoscopic-free-omental-lymphatic-flap-for-the-treatment-of-lymphedema
#18
Alexander T Nguyen, Hiroo Suami
UNLABELLED: Advances in microsurgery have displayed promising results for the treatment of lymphedema. The use of vascularized lymph node transfers has increased in popularity but incurs the potential risk for donor-site lymphedema. The omentum has been previously described for the treatment of lymphedema but has been overlooked because of presumed high morbidity, including the need for celiotomy and pedicled complications. The authors present a novel technique and early results of the laparoscopic free omental lymphatic flap for the management of lymphedema...
July 2015: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26090290/flap-reconstruction-for-esophageal-perforation-complicating-anterior-cervical-spinal-fusion-an-18-year-experience
#19
Philip J Hanwright, Chad A Purnell, Gregory A Dumanian
BACKGROUND: Esophageal injury following anterior cervical discectomy and fusion (ACDF) poses a significant reconstructive challenge. Buttressing flap repairs have proven beneficial; however, there remains a paucity of evidence to guide optimal flap selection. METHODS: A retrospective chart review was performed for patients who presented to the senior author with esophageal perforations after ACDF from 1995 until present. Demographic, clinical, and postoperative details were collected...
May 2015: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/26090277/new-refinements-in-greater-omentum-free-flap-transfer-for-severe-secondary-lymphedema-surgical-treatment
#20
Jose M Lasso, Carmen Pinilla, Michele Castellano
Lymphedema is a chronic debilitating disease, affecting a considerable part of the population; it results from impairment of the lymphatic system. It is highly prevalent among patients subjected to axillary and groin nodal dissection after surgery for breast cancer, abdominopelvic surgery, and lymphadenectomy after melanoma surgery. Interestingly, among the surgical treatment options for lymphedema, groin lymph node transfer is gaining popularity; however, in some cases, dissection at this site can cause significant morbidity, including possible development of iatrogenic lymphedema...
May 2015: Plastic and Reconstructive Surgery. Global Open
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