Complications of the pedicled omentoplasty.
A total of 74 patients, additionally treated with a pedicled omentoplasty, were studied retrospectively with regard to the complications. The pedicled omentoplasty was used extra- or intra-abdominally to reconstruct large soft-tissue defects, to treat radiation necrosis or to prevent radiation enteritis. Gastro-intestinal complaints were seen in six patients, three developed an ileus and needed a relaparotomy, one patient had herniation of the stomach through a diaphragm defect. Total necrosis of the omental flap was seen in two patients and infection in seven patients with an extra-abdominally used omentoplasty. An abscess in the pelvic cavity occurred five times in an intra-abdominally placed omentoplasty. In seven patients, an operative correction of an incisional hernia was necessary. One patient died of massive pulmonary embolism. This study indicates that the pedicled omentoplasty is a safe procedure and is associated with a moderate number of postoperative complications, which can be reduced if the right surgical technique is used.
van Garderen
J A
JA
Department of Surgical Oncology, Dr. Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Wiggers
T
T
van Geel
A N
AN
D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009852:Omentum / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012983:Soft Tissue Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000453:epidemiology; D013997:Time Factors