Neurolysis and free microvascular omentum transfer in the treatment of postactinic palsies of the brachial plexus.

In this paper the results of treatment in 19 cases of postactinic paralysis of the brachial plexus are reported. The surgical technique aimed at resolving this condition, which is serious and often extremely painful, involves neurolysis and a long, narrow free omental graft and removal of the clavicle; the donor vessels are the left gastroepiploic arteries and veins; the recipient vessels are those distant from the irradiated area (often in the neck, transverse and facial arteries, veins affluent to the external jugular).