Wein A J, Malloy T R, Greenberg S H, Carpiniello V L, Murphy J J
J Trauma. 1980 Jun;20(6):473-7. doi: 10.1097/00005373-198006000-00007.
Mobilization of an intact omental pedicle graft for supportive use has been carried out in a variety of genitourinary reconstructive procedures. Mobilzation is accomplished by detachment of the omentum from the transverse colon and by separation from the greater curvature of the stomach. The right gastroepiploic artery is generally preserved as the blood supply to the omental pedicle. Further pedicle lengthening can be achieved as necessary by selective division of the omentum, based on the arterial anatomy. The rich vascular and lymphatic supply of the omentum and its attendant potential to contribute to healing, even in the presence of infection, while maintaining its suppleness and allowing epithelization to occur over its surface, makes the omental pedicle graft an extremely useful adjunct in the following difficult situations: complicated vesicovaginal, prostatorectal, and rectovaginal fistulas; reconstruction of the bladder neck and bulbo-membranous urethral areas; extensive injury to the bladder; and a variety of renal and ureteral reconstructive procedures.
在各种泌尿生殖系统重建手术中，已采用完整的带蒂大网膜移植进行支持性应用。通过将大网膜从横结肠分离并与胃大弯分离来实现游离。通常保留胃网膜右动脉作为大网膜蒂的血液供应。根据动脉解剖结构，必要时可通过选择性分割大网膜来进一步延长蒂部。大网膜丰富的血管和淋巴供应及其在感染情况下仍有助于愈合的潜在能力，同时保持其柔韧性并允许上皮在其表面生长，使得带蒂大网膜移植在以下困难情况下成为极其有用的辅助手段：复杂性膀胱阴道瘘、前列腺直肠瘘和直肠阴道瘘；膀胱颈和球部-膜部尿道区域的重建；膀胱广泛损伤；以及各种肾脏和输尿管重建手术。
