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Surgery Today

, Volume 29, Issue 1, pp 86–90 | Cite as

Omentum autotransplantation in thromboangiitis obliterans: Report of three cases

  • Rakesh Kumar Khazanchi
  • Vipul Nanda
  • Rajeev Kumar
  • Pankaj Garg
  • Sandeep Guleria
  • Sabyasachi Bal
Case Reports

Abstract

Thomboangiitis obliterans (TAO), also known as Buerger’s disease, is an important cause in India of chronic arterial occlusion of the limbs. The current modalities of therapy do not provide adequate relief to a large number of these patients. An omentum autotransplantation to the lower limbs was performed in three patients as a limb salvage procedure. The initial results with up to a year of follow-up are so far encouraging.

Key Words

omentum autotransplantation Buerger’s disease thromboangiitis obliterans 

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References

  1. 1.
    Von Winiwarter F (1879) Ueber eine eigenthumliche Form von Endarteritis und Endoplebitis mit Gangran des Fusses. Arch Klin Chir 23:202–226Google Scholar
  2. 2.
    Buerger L (1908) Thromboangiitis obliterans: a study of vascular lesions leading to presenile spontaneous gangrene. Am J Med Sci 136:567–580CrossRefGoogle Scholar
  3. 3.
    Mishima Y, Ueno A, Maruyama Y, Tada Y, Ohashi S (1973) Long term results of surgical results for so called Buerger’s disease. J Jpn Surg Soc 75:337–340Google Scholar
  4. 4.
    Cotton LT, Cross FW (1985) Lumbar sympathectomy for arterial disease. Br J Surg 72:678–683CrossRefPubMedGoogle Scholar
  5. 5.
    Goldsmith HS, De LosSantos R (1967) Omental transposition in primary lymphoedema. Surg Gynecol Obstet 125:607–610PubMedGoogle Scholar
  6. 6.
    Goldsmith HS, De LosSantos R, Beattie ES (1967) Relief of chronic lymphoedema by omental transposition. Ann Surg 166:572–585CrossRefGoogle Scholar
  7. 7.
    Cartier R, Brunette I, Hashimoto K, Bourne WM, Schaff HV (1990) Angiogenic factor—a possible mechanism for neovascularization produced by omental pedicles. J Thorac Cardiovasc Surg 99:264–268PubMedGoogle Scholar
  8. 8.
    Imaizumi T, Hashi K (1991) A basic study on omental transplantation. Vascular endothelial cell growth factor in human omentum. Neurol Med Chir Tokyo 31:839–845CrossRefPubMedGoogle Scholar
  9. 9.
    Nishimura A, Sano F, Nakanishi Y, Koshino I, Kasai Y (1977) Omental transplantation for relief of limb ischemia. Surg Forum 22:213–215Google Scholar
  10. 10.
    Saem WL, Yang ZM, Jin LR, Wei JJ, Luo YG, Peng YB (1990) Omental auto transplantation in treatment of Buerger’s disease. Chin Med J 308:248–250Google Scholar
  11. 11.
    Alday ES, Goldsmith HS (1972) Surgical technique for omental lengthening based on arterial anatomy. Surg Gynecol Obstet 135:103–107PubMedGoogle Scholar
  12. 12.
    Shionoya S, Ban I, Nakata Y, Matsubara J, Shinjo K, Hira M, Kawai S, Suzuki S, Tsai WH (1974) Buerger’s disease. Surgery 75:695–700PubMedGoogle Scholar
  13. 13.
    Mills JL, Taylor LM, Porter JM (1987) Buerger’s disease in the modern era. Am J Surg 154:123–129CrossRefPubMedGoogle Scholar
  14. 14.
    Reddy NV, Singh RV (1969) Buerger’s disease: athersclerosis a clinico pathological study. Ind J Surg 3:222–231Google Scholar
  15. 15.
    Fiessinger JN, Schaffer M (1990) Trial of Iloprostvs Aspirin treatment for critical limb ischemia of thromboangiitis obliterans. Lancet 335:555–557CrossRefPubMedGoogle Scholar
  16. 16.
    Shionoya S, Ban I, Nakata Y, Matsubara J, Hirai M, Miyazaki H, Kawai S (1976) Vascular reconstruction in Buerger’s disease. Br J Surg 63:841–846CrossRefPubMedGoogle Scholar
  17. 17.
    Gervaziev VB, Bykov VM, Khorev NG, Fust VI, Lepilov AV (1992) Surgical-drug therapy aspects of treatment of patients with obliterating thromboangiitis of the lower limbs. Grud-Serdechenososudistaia-Khir 1–2:25–30Google Scholar
  18. 18.
    Aschieri F, Lapaldi E, De-Simone F, Lapaldi G (1989) Surgical aspects in the therapy of Buerger’s disease. J Mal Vasc 14:47–49PubMedGoogle Scholar
  19. 19.
    Collins GJ Jr, Rich NM, Clagett GP, Salander JM, Spebar MJ (1981) Clinical results of lumbar sympathectomy. Am Surg 47:31–35PubMedGoogle Scholar
  20. 20.
    Casten DF, Alday ES (1971) Omental transfer for revascularization of the extremities. Surg Gynecol Obstet 132:301–304PubMedGoogle Scholar
  21. 21.
    Hoshino S, Nakayama K, Igari T, Honda K (1983) Long term results of omental transplantation for chronic occlusive arterial diseases of extremities. Int Surg 68:47–50PubMedGoogle Scholar
  22. 22.
    Bhargava JS, Makker A, Bhargava K, Shaunik AV, Sharda A, Kumar PSS (1997) Pedicled omentum transfer for ischaemic limbs—a 5 year experience. J Indian Med Assoc 85:100–102Google Scholar
  23. 23.
    Abbase EA, Shenaq SM, Spira M, El-Falaky MH (1995) Prefabricated flaps: experimental and clinical review. Plast Reconstr Surg 96:1218–1221CrossRefPubMedGoogle Scholar
  24. 24.
    Morrison WA, Pennington AJ, Kumta SK, Callan P (1997) Clinical applications and technical limitations of prefabricated flaps. Plast Reconstr Surg 99:378–385CrossRefPubMedGoogle Scholar
  25. 25.
    Zhang L, Tuchler RE, Chang B, Bakshander N, Shaw WW, Siedert JW (1992) Prefabrication of free flaps using omentum in rats. Microsurgery 13:214–219CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Rakesh Kumar Khazanchi
    • 1
  • Vipul Nanda
    • 1
  • Rajeev Kumar
    • 1
  • Pankaj Garg
    • 1
  • Sandeep Guleria
    • 1
  • Sabyasachi Bal
    • 1
  1. 1.Division of Plastic and Reconstructive Surgery, Department of Surgical DisciplinesAll India Institute of Medical SciencesNew DelhiIndia

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