Surgical and Radiologic Anatomy

, Volume 40, Issue 4, pp 415–422 | Cite as

Surgical anatomy of the right gastro-omental artery: a study on 100 cadaver dissections

  • Nicla Settembre
  • Marc Labrousse
  • Pierre Edouard Magnan
  • Alain Branchereau
  • Pierre Champsaur
  • Rossana Bussani
  • Marc Braun
  • Sergueï Malikov
Anatomic Bases of Medical, Radiological and Surgical Techniques
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Abstract

Purpose

The gastro-omental artery (GOA) with the greater omentum (GO) is known for its high quality as a vascular graft, its resistance to infections as an omental flap and for its multiple applications in surgery. A better knowledge of anatomical variations of GO and its vascularization can improve the application in surgery and decrease complications. The purpose of this study was to measure diameters and lengths of the right GOA (RGOA) and study the interindividual variability of these anatomical structures.

Methods

In 100 cadaveric dissections, we carried out dissection of the RGOA and of the GO. In 70 unfixed cadavers, the transillumination technique was used to identify all RGOA branches. In the remaining 30 cadavers, prepared with Winckler’s solution, barium sulfate with colored latex was injected. Digital X-ray was used to measure RGOA lengths, internal diameters and the distribution of the omental branches. The gastro-omental vein was also dissected.

Results

The mean proximal and distal diameters of RGOA were 2.68 (± 0.39) mm and 0.94 (± 0.24) mm, respectively. The mean length was 244.3 (± 34.4) mm. The thickness of the omentum ranged from 5 to 15.5 mm. The arteria omentalis magna, defined in this study for the fist time as the longest and widest omental branch, was present in 73.3% cases. The trans-omental arch was present in 6% cases.

Conclusions

This morphometric study allowed us to define the vascularization and the anatomical variations of RGOA and GO. This may lead to improvement of applications in surgery and decrease complications.

Keywords

Anatomical study Gastro-omental artery Cadaver dissections Greater omentum Arteria omentalis magna Transillumination 

Notes

Acknowledgements

We are grateful to the donors and their families for giving us this opportunity to extend our knowledge of human anatomy. We thank Dr. Claudio Vassallo for his assistance in the analysis of the statistical data and Beata Przybyla for assistance in the revision of the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2017

Authors and Affiliations

  • Nicla Settembre
    • 1
    • 2
  • Marc Labrousse
    • 3
  • Pierre Edouard Magnan
    • 4
  • Alain Branchereau
    • 4
  • Pierre Champsaur
    • 5
  • Rossana Bussani
    • 6
  • Marc Braun
    • 7
    • 8
  • Sergueï Malikov
    • 1
    • 2
  1. 1.Department of Vascular Surgery, Nancy University HospitalUniversity of LorraineNancyFrance
  2. 2.INSERM 1116, University of LorraineNancyFrance
  3. 3.Department of AnatomyUniversity of Reims Champagne-ArdenneReimsFrance
  4. 4.Department of Vascular Surgery, Marseille, TimoneUniversity HospitalMarseilleFrance
  5. 5.Department of AnatomyMarseille UniversityMarseilleFrance
  6. 6.Department of Pathology, Trieste University HospitalUniversity of TriesteTriesteItaly
  7. 7.Department of AnatomyNancy University, University of LorraineNancyFrance
  8. 8.INSERM 947 (IADI), Nancy University HospitalNancyFrance

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