Uhlschmid G, Clodius L
Chirurg. 1978 Nov;49(11):714-8.
A short review of the structural characteristics and the function of the greater omentum is presented. The results of treatment of secondary lymphedema by free transplantation of the omentum with microvascular anastomoses in the canine model and their relevance for clinical application are discussed. Clinical indications, operative technique, and results of omental transplantation and exoneurolysis of the brachial plexus in seven patients with constrictive, radiation induced brachial plexus paralysis, with and without secondary lymphedema, are reviewed. No effect of the grafted omentum on arm-lymphedema was observed over the entire observation period of 1 1/2--4 years. Minor degree reversion of neurodegenerative changes was found in two patients, in all other patients, these changes stopped. The most impressing result was the immediate and permanent disappearance of pain in all patients.
本文简要回顾了大网膜的结构特征和功能。讨论了在犬模型中通过微血管吻合进行大网膜游离移植治疗继发性淋巴水肿的结果及其临床应用相关性。回顾了7例患有狭窄性、放射性臂丛神经麻痹（伴或不伴继发性淋巴水肿）患者的网膜移植和臂丛神经外膜松解术的临床适应症、手术技术及结果。在1年半至4年的整个观察期内，未观察到移植的网膜对上肢淋巴水肿有影响。在2例患者中发现神经退行性改变有轻微程度的逆转，在所有其他患者中，这些改变停止。最令人印象深刻的结果是所有患者的疼痛立即且永久消失。
