Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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THE OMENTUM FREE FLAP, A THERAPEUTICAL OPTION FOR THE SURGERY OF LARGE SOFT TISSUE DEFECTS
Camelia Tamaş (1), S. Shaukat (1), C. Moroşanu (2), Dana Turliuc (3), L. Popa (1), R. Niţă (1),
Cristina Stănescu (1), P. Sârbu (4), Sânziana Volocaru (1)
„Gr.T. Popa” University of Medicine and Pharmacy, Iaşi
„Gr.T. Popa” University of Medicine and Pharmacy, Iaşi
(1) Clinic of Plastic and Reconstructive Surgery, „St. John” Emergency Hospital Iaşi
(2) Department of Vascular Surgery, „St. John” Emergency Hospital Iaşi
(3) Neurosurgical Hospital Iaşi
(4) Clinic of Trauma and Orthopedy, „St. John” Emergency Hospital Iaşi
Jurnalul de chirurgie 2009; 5 (2): 165-171
Full text:
Format PDF (Română/Romanian)

Abstract:

The omentum is malleable, can fit into any defect and provides a large amount of soft tissue that obliterates the deadspaces. We used this tissue with high vascularisation and special properties to reconstruct many posttraumatic and posttumoral soft tissue defects and the results were very good, both esthetic and functional. We performed free omentum flaps in 23 patients (1998 – 2008 ) to reconstruct forearm and hand (5 cases), legs defects (14 cases), scalp (3 cases) and orbital region (one case). This flap was sellected in order to cover large anterior and posterior defects, passing through the interossouse membrane (3 cases), to obliterate dead spaces (6 cases) or to bring high vascular soft tissue in crushed, contaminated wounds (17 cases). Many patients (16) presented complex injuries, with bone interested; some of them (16) arrived to the moment of reconstruction with infected posttraumatic wounds, bones or tendons exposed and bad general status due the infection. We performed free omentum flaps because we are convinced of its high plasticity; it is ideally suited to cover postdebridement defects, although it has a major disadvantage: it requires laparatomy.

KEY WORDS: OMENTUM, FREE FLAP, RECONSTRUCTION

Correspondence to: Camelia Tamaş, MD, PhD, Clinic of Plastic and Reconstructive Surgery, „St. John” Emergency Hospital Iaşi, Street Gen. Berthelot, No 2, Iaşi, Romania; e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.