[The use of omental pedicle flap for treatment in the field of thoracic surgery].
We present a series of 16 consecutive patients who underwent the omental pedicle flap method in the field of thoracic surgery. Fourteen of 16 patients were chronic empyema with bronchopleural fistulae and/or thoracic fistulae. A pedicle of omentum containing the right gastroepiploic artery was passed through a tunnel in the anterior diaphragm into the empyema cavity. It was fixed by mono-filament sutures on the bronchopleural fistulae. All but two patients were cured successfully by single-stage procedures. We also used a omental pedicle flap for mediastinal infection and reconstruction of the chest wall. We conclude that the use of omental pedicle flap is a promising method for treatment of serious infection in the field of thoracic surgery.
Tatsumi
A
A
Kitano
M
M
Nagasaki
F
F
Huang
C
C
Koh
T
T
Koizumi
S
S
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000601:surgery; D001983:Bronchial Fistula / Q000601:surgery; D004653:Empyema / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D010995:Pleural Diseases / Q000601:surgery; D013524:Surgical Flaps; D013903:Thoracic Surgery