title: The Pedicled Omental Flap Technique for Treating Extensive Defects or Soft-Tissue Infection of the Pelvic Area: A Report of 2 Cases.
abstract: Severe trauma injuries, such as open pelvic fractures and degloving injuries, have recently become salvageable. However, extensive soft-tissue defects often remain and can lead to disuse atrophy of the extremities, prolonged hospital stays, and numerous other problems. Such injuries can be easily and effectively treated by a general trauma surgeon performing the pedicled omental flap technique. We report on 2 highly diverse and complicated cases of soft-tissue defect that were both successfully treated with this technique. One case was an extensive right-sided defect of the pelvic soft-tissue in a 20-year-old woman. The other case was in a 55-year-old man who underwent emergency artificial vessel replacement surgery for a femoral artery tear with severe damage to the surrounding muscle. Although the surgery was successful, a methicillin-resistant Staphylococcus aureus infection developed around the artificial vessel 10 days after surgery. In both cases, the pedicled omental flap technique was successfully performed and yielded epithelization without serious infection and with the infection subsiding with wound-area healing. To our knowledge, the pedicled omental flap technique has rarely been used to treat severe trauma, and our results suggest its usefulness for both preventing infection in large wounds and healing infected wounds.
authors.affiliation: Shock and Trauma Center, Nippon Medical School Chiba Hokusoh Hospital.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Hara
authors.forename: Hisashi
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yokota
authors.forename: Makoto
authors.initials: M
authors.lastname: Kawai
authors.forename: Takanori
authors.initials: T
authors.lastname: Yagi
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Saito
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yasumatsu
authors.forename: Kazuki
authors.initials: K
authors.lastname: Mashiko
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Motomura
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Iida
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D019651:Plastic Surgery Procedures / Q000379:methods*; D018461:Soft Tissue Infections / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*; D013524:Surgical Flaps; D015599:Trauma Severity Indices; D055815:Young Adult