Horch Raymund E, Horbach Thomas, Lang Werner
Department of Plastic and Hand Surgery, University Hospital Erlangen, Erlangen, Germany.
J Vasc Surg. 2007 Apr;45(4):837-40. doi: 10.1016/j.jvs.2006.11.049.
Microvascular transfer of the omentum provides well-vascularized and pliable tissue but has not widely been used in vascular extremity reconstruction because of the potentially high donor site morbidity caused by the necessary laparotomy. Laparoscopic minimally invasive harvest of a free greater omentum flap and microsurgical transfer of this tissue with split skin grafts on top and connected to sequential vein bypasses may be a an interesting new modality when other reconstructive options are absent or scarce. We report this novel technique in a patient with arterial occlusive disease and an extensive and circular ulcer of the lower extremity.
大网膜微血管转移可提供血管丰富且柔韧的组织，但由于必要的剖腹手术可能导致较高的供区并发症，其在四肢血管重建中尚未得到广泛应用。当其他重建选择缺乏或稀少时，腹腔镜微创获取游离大网膜瓣并将该组织进行显微外科转移，同时在上面覆盖分层皮片并连接连续静脉旁路，可能是一种有趣的新方法。我们报告了一名患有动脉闭塞性疾病和下肢广泛环形溃疡患者的这种新技术。
