Brockman D J, Pardo A D, Conzemius M G, Cabell L M, Trout N J
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.
Vet Surg. 1996 Mar-Apr;25(2):99-104. doi: 10.1111/j.1532-950x.1996.tb01384.x.
The greater omentum was used to aid in the reconstruction of nonhealing wounds in five cats. In each cat the cause of the nonhealing wound could not be determined. A vascular omental pedicle was created at laparotomy by dividing the dorsal leaf of the omentum at it pancreatic attachments (four cats) or by dividing the ventral leaf at its gastric attachments (one cat). The pedicle was then passed through either the ventral or lateral body wall into the nonhealing wound via a subcutaneous tunnel. The wounds were closed over the omentum after local tissue mobilization. All the wounds healed uneventfully and have remained healed with a mean follow-up period of 2.5 years. Complications included intestinal herniation through a ventral midline exit hole (one cat), presumed abdominal fat herniation through a ventral abdominal exit hole (one cat) and seroma formation (one cat). All of the complications were treated successfully. The omentum should be considered a useful adjunct in the treatment of nonhealing wounds in cats.
在五只猫中，使用大网膜辅助修复不愈合伤口。每只猫的不愈合伤口病因均无法确定。剖腹手术时，通过在胰腺附着处切断大网膜的背叶（四只猫）或在胃附着处切断腹叶（一只猫）来创建带血管蒂的网膜。然后将蒂通过皮下隧道穿过腹前壁或侧腹壁进入不愈合伤口。局部组织松动后，伤口在大网膜上缝合。所有伤口均顺利愈合，平均随访2.5年，仍保持愈合状态。并发症包括通过腹中线出口孔发生肠疝（一只猫）、推测通过腹前壁出口孔发生腹部脂肪疝（一只猫）和血清肿形成（一只猫）。所有并发症均成功治疗。大网膜应被视为治疗猫不愈合伤口的有用辅助手段。
