[Use of pedicled greater omentum-plasty as thoraco-abdominal defect repair following extensive tumor resection].
Patients suffering from long-untreated malignomas of the chest or abdominal wall may require plastic surgery due to extensive defects after tumor resection. Despite a variety of pedicled or free myocutaneous flaps, there are defects in which these reconstructional options may not be indicated. In these patients, the omental flaps are a valid alternative. Since a secondary split skin graft is mandatory with the omentum flap, antibacterial and granulation-enhancing xerodressings are required for wound bed conditioning. We report one patient in whom the omentum flap was used for coverage of an extensive defect after resection of a widespread basal cell carcinoma at the lateral thorax and abdominal wall. After wound conditioning with silver-impregnated activated charcoal xerodressing (Actisorb) in combination with a hydroactive polymer dressing (Allevyn), secondary skin grafting was performed. In this patient fibrosis and calcification of the omentum led to stable abdominal wall coverage even without the application of a synthetic mesh.
Maiwald
G
G
Plastische, Hand- und Mikrochirurgie, Chirurgische Klinik und Poliklinik, LMU, Klinikum Grosshadern, München.
Müller
C
C
Fürst
H
H
Arbogast
S
S
Baumeister
R G
RG
D000008:Abdominal Neoplasms / Q000473:pathology / Q000601:surgery*; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009852:Omentum / Q000637:transplantation; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000473:pathology / Q000601:surgery*
Einsatz der gestielten Omentum-majus-Plastik als thoracoabdomineller Defektersatz nach grossflächiger Tumorresektion.