The use of omental transposition in the treatment of recurrent sarcoma of the back.
We report 2 patients with paraspinous sarcoma treated with omental transposition tunneled through a defect in the lumbar fascia that resurfaced in the soft tissues of the lower back. Traditional reconstruction with skin flaps was unsatisfactory because of prior irradiation to the area. In 1 patient the omentum obliterated a cavity connecting the dura to the skin to prevent cerebrospinal fluid leak. In the other patient a large soft tissue defect overlying the lower back and dura was covered with omentum and skin grafted. Although both patients lived < 2 years, the durable wound coverage remained intact over the surgical site.
Ladin
D
D
Section of Plastic and Reconstructive Surgery, University of Michigan Medical Center, Ann Arbor.
Rees
R
R
Wilkins
E
E
Sondak
V
V
McGillicuddy
J
J
D000328:Adult; D001415:Back; D005260:Female; D005354:Fibrosarcoma / Q000601:surgery*; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009852:Omentum / Q000637:transplantation*; D012983:Soft Tissue Neoplasms / Q000601:surgery*