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Evaluation of Pedicled Omental Flap Delivered through a Minilaparotomy for Immediate Breast Reconstruction in Obese Patients

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An Erratum to this article was published on 19 March 2014



Studies have shown the laparoscopically harvested omental flap to be a successful method for immediate breast reconstruction. However, data about its usefulness and safety in obese women are limited. This study examined the effectiveness and safety of a pedicled omental flap delivered via a minilaparotomy in women with a body mass index (BMI) higher than 30 kg/m2.


Women candidates for skin-sparing mastectomy underwent reconstruction with delivery of a pedicled omental flap via a minilaparotomy.


Surgery was performed for 24 women with a mean age of 57.54 years and a mean BMI of 32.54 kg/m2. The operative time was prolonged by about 1 h without excess blood loss or prolongation of their hospital stay. Except for a single case of partial flap necrosis, no single total flap loss was recorded. In three patients (12.5 %), the flap volume was inadequate, and silicone implant was used as an adjunct. Only one patient (4 %) experienced a small incisional hernia. The majority of the patients (67 %) described their cosmetic outcome as excellent.


Delivery of a pedicled omental flap via a minilaparotomy is a safe and reliable method for immediate breast reconstruction after skin-sparing mastectomy in women with a BMI higher than 30 kg/m2.

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We thank Dr. Ayman Elsaed, professor of community medicine, Mansoura University, for his support throughout this study.

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Correspondence to Ashraf Khater.

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Khater, A. Evaluation of Pedicled Omental Flap Delivered through a Minilaparotomy for Immediate Breast Reconstruction in Obese Patients. Aesth Plast Surg 37, 1140–1145 (2013).

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