title: Laparoscopic Free Omental Flap for Craniofacial Reconstruction: A Video Article Demonstrating Operative Technique and Surgical Applications.
abstract: The omental flap is a well described pedicled flap for surgical reconstruction of multiple body locations. As a laparoscopically harvested free flap, the omentum offers a minimally invasive solution to many reconstructive problems including extremity and head and neck wounds. This video article highlights the operative technique involved in flap harvest and inset for a cranial defect. An illustrative case involving a 23-year-old female's traumatic scalp degloving injury that was resurfaced by free omental flap and split-thickness skin graft is presented. This patient had stable long-term wound coverage for a very severe injury. Through video media we demonstrate that the laparoscopically harvested free omental flap is a minimally invasive, 2-team operation that provides soft tissue coverage of severe, remote wounds. This video demonstrates a safe operative technique and nuances specific to laparoscopic harvest of this flap.
authors.affiliation: *Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS †Department of Surgery, University of South Carolina School of Medicine, Columbia, SC.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: McIntyre
authors.forename: David
authors.initials: D
authors.lastname: Lobb
authors.forename: Fernando
authors.initials: F
authors.lastname: Navarro
authors.forename: James
authors.initials: J
authors.lastname: Nottingham
mesh_terms: D000069836:Degloving Injuries / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009852:Omentum / Q000637:transplantation*; D012535:Scalp / Q000293:injuries* / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000379:methods*; D055815:Young Adult