Abstract
Salvage of of chronic isheamic limbs affected by Buerger’s disease has been a dilemma for surgeons. Reconstructive procedures are usually not possible as graft patency rates are low. Limb amputation often is the only available management option left.Angiogenic properties of omentum were used to salvage these chronic ischemic limbs. Omentum, due to presence of CD3-4 + and Ly-1B stem cells with power to migrate, establishes biological anastomosis on its own between capillaries of omentum and ischemic tissue capillaries within 3 days along with retrograde filling of original vessels and/or neovascularisation. In Agarwal Technique, omentum is lengthened in continuity so as to reach the affected limb and provide the needed vascularity. We have a follow up of 15 years with 85% salvage of limbs in over 800 patients.Uses of omentum in other surgical situations is also highlighted.
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Agarwal, V.K., Bindal, J., Bhargava, S. (2017). Omental Transplant for Revascularization in Critical Ischemic Limbs and Tissues. In: Dieter, R., Dieter, Jr, R., Dieter, III, R., Nanjundappa, A. (eds) Critical Limb Ischemia. Springer, Cham. https://doi.org/10.1007/978-3-319-31991-9_42
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DOI: https://doi.org/10.1007/978-3-319-31991-9_42
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