Abstract
Greater omental flap is one of the earliest-applied free tissue flaps, and it was also the first used for repair and reconstruction inside and outside the abdominal cavity [1]. In 1963, Romania surgeon Kiricuta used pedicled omental flap to perform breast reconstruction for ten patients with breast cancer. Among them, four cases did not use prosthesis implantation, and the effect was satisfactory. Since then, it has been reported that the free greater omentum flap was used to conduct the reconstruction of facial deformity for Romberg’s patients. Since then, the application field of the greater omental flap has become more and more extensive [2, 3].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
McLean DH, Buncke HJ. Autotransplant of omentum to a large scalp defect, with microsurgical revascularization. Plast Reconstr Surg. 1972;49(3):268–74.
Upton J, Mulliken JB, Hicks PD, Murray JE. Restoration of facial contour using free vascularized omental transfer. Plast Reconstr Surg. 1980;66(4):560–9.
Jurkiewicz MJ, Nahai F. The omentum: its use as a free vascularized graft for reconstruction of the head and neck. Ann Surg. 1982;195(6):756–65.
Lopez R, Didolkar MS, Karakousis C, Baffi R, Bakamjian V. Problems in resection of chest wall sarcomas. Am Surg. 1979;45(7):471–7.
Woods JE, Arnold PG, Masson JK, Irons GB, Payne WS. Management of radiation necrosis and advanced cancer of the chest wall in patients with breast malignancy. Plast Reconstr Surg. 1979;63(2):235–41.
Starzynski TE, Snyderman RK, Beattie EJ. Problems of major chest wall reconstruction. Plast Reconstr Surg. 1969;44(6):525–35.
Leonard AG. Reconstruction of the chest wall using a de-epithelialised “turn over” deltopectoral flap. Br J Plast Surg. 1980;33(2):187–9.
Arnold PG. Reconstruction of the sternum and anterior chest wall: aesthetic considerations. Clin Plast Surg. 1981;8(2):384–97.
Salo JTK, Tukiainen EJ. Oncologic resection and reconstruction of the chest wall: a 14-year experience in a single center. Plast Reconstr Surg. 2018;142(2):536–47.
Dupont C, Menard Y. Transposition of the greater omentum for reconstruction of the chest wall. Plast Reconstr Surg. 1972;49(3):263–7.
Arnold PG, Hartrampf CR, Jurkiewicz MJ. One-stage reconstruction of the breast, using the transposed greater omentum. Case report. Plast Reconstr Surg. 1976;57(4):520–2.
Jurkiewicz MJ, Arnold PG. The omentum: an account of its use in the reconstruction of the chest wall. Ann Surg. 1977;185(5):548–54.
Arnold PG, Irons GB. The greater omentum: extensions in transposition and free transfer. Plast Reconstr Surg. 1981;67(2):164–76.
Newing RK, Pribaz JJ, Bennett RC, Buls J. Omental transposition and skin graft in the management of chest wall recurrence of carcinoma of the breast. Aust N Z J Surg. 1979;49(5):546–51.
Hakelius L. Fatal complication after use of the greater omentum for reconstruction of the chest wall: case report. Plast Reconstr Surg. 1978;62(5):796–7.
Jimenez AG, Germain PS, Sirois M, Hatheway M, Lethbridge R. Free omental flap for skin-sparing breast reconstruction harvested laparoscopically. Plast Reconstr Surg. 2002;110(2):545–51.
dos Santos Costa S, Blotta RM, Mariano MB, Meurer L, Edelweiss MI. Aesthetic improvements in Poland’s syndrome treatment with omentum flap. Aesthet Plast Surg. 2010;34(5):634–9.
Horch RE, Horbach T, Lang W. The nutrient omentum free flap: revascularization with vein bypasses and greater omentum flap in severe arterial ulcers. J Vasc Surg. 2007;45(4):837–40.
Boyd JB, Taylor GI, Corlett R. The vascular territories of the superior epigastric and the deep inferior epigastric systems. Plast Reconstr Surg. 1984;73(1):1–16.
Bayles SW, Hayden RE. Gastro-omental free flap reconstruction of the head and neck. Arch Facial Plast Surg. 2008;10(4):255–9.
Alday ES, Goldsmith HS. Surgical technique for omental lengthening based on arterial anatomy. Surg Gynecol Obstet. 1972;135(1):103–7.
Powers JC, Fitzgerald JF, McAlvanah MJ. The anatomic basis for the surgical detachment of the greater omentum from the transverse colon. Surg Gynecol Obstet. 1976;143(1):105–6.
Das SK. The size of the human omentum and methods of lengthening it for transplantation. Br J Plast Surg. 1976;29(2):170–44.
Das SK. Assessment of the size of the human omentum. Acta Anat (Basel). 1981;110(2):108–12.
Li X, Ouyang Z, Yang S, et al. Omental transplantation improves surgical outcome of large squamous cell carcinoma: a case report. Oncol Lett. 2015;9(6):2805–8.
Gallagher J, Webb A, Ilankovan V. Gastro-omental free flaps in oral and oropharyngeal reconstruction: surgical anatomy, complications, outcomes. Br J Oral Maxillofac Surg. 2002;40(1):32–6.
Vyas RM, Prsic A, Orgill DP. Transdiaphragmatic omental harvest: a simple, efficient method for sternal wound coverage. Plast Reconstr Surg. 2013;131(3):544–52.
Reade CC, Meadows WM, Bower CE, Lalikos JF, Zeri RS, Wooden WA. Laparoscopic omental harvest for flap coverage in complex mediastinitis. Am Surg. 2003;69(12):1072–6.
Hoffmann J, Wallwiener D. Classifying breast cancer surgery: a novel, complexity-based system for oncological, oncoplastic and reconstructive procedures, and proof of principle by analysis of 1225 operations in 1166 patients. BMC Cancer. 2009;9:108.
Kronowitz SJ, Kuerer HM, Buchholz TA, Valero V, Hunt KK. A management algorithm and practical oncoplastic surgical techniques for repairing partial mastectomy defects. Plast Reconstr Surg. 2008;122(6):1631–47.
Munhoz AM, Montag E, Arruda E, et al. Assessment of immediate conservative breast surgery reconstruction: a classification system of defects revisited and an algorithm for selecting the appropriate technique. Plast Reconstr Surg. 2008;121(3):716–27.
Zaha H, Inamine S, Naito T, Nomura H. Laparoscopically harvested omental flap for immediate breast reconstruction. Am J Surg. 2006;192(4):556–8.
Song XY, Guan DD, Lin H, et al. [Immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2011;27(6):401–5.
Zaha H, Sunagawa H, Kawakami K, Touyama T, Yonaha T, Ohshiro N. Partial breast reconstruction for an inferomedial breast carcinoma using an omental flap. World J Surg. 2010;34(8):1782–7.
Arnold PG, Witzke DJ, Irons GB, Woods JE. Use of omental transposition flaps for soft-tissue reconstruction. Ann Plast Surg. 1983;11(6):508–12.
Cartier R, Brunette I, Hashimoto K, Bourne WM, Schaff HV. Angiogenic factor: a possible mechanism for neovascularization produced by omental pedicles. J Thorac Cardiovasc Surg. 1990;99(2):264–8.
LĂłpez-Monjardin H, de-la-Peña-Salcedo A, Mendoza-Muñoz M, LĂłpez-Yáñez-de-la-Peña A, Palacio-LĂłpez E, LĂłpez-GarcĂa A. Omentum flap versus pectoralis major flap in the treatment of mediastinitis. Plast Reconstr Surg. 1998;101(6):1481–5.
Maloney CT, Wages D, Upton J, Lee WP. Free omental tissue transfer for extremity coverage and revascularization. Plast Reconstr Surg. 2003;111(6):1894–904.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Shanghai Scientific and Technical Publishers
About this chapter
Cite this chapter
Wan, N., Ma, S. (2023). Greater Omental Flap for Breast Reconstruction. In: Li, Z., Song, D. (eds) Oncoplastic Flap Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-8926-1_25
Download citation
DOI: https://doi.org/10.1007/978-981-19-8926-1_25
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-8925-4
Online ISBN: 978-981-19-8926-1
eBook Packages: MedicineMedicine (R0)