Ignjatović M, Cuk V, Zivotić-Vanović M, Minić L
Clinic of General and Vascular Surgery, Belgrade.
Vojnosanit Pregl. 1998 May-Jun;55(3):247-54.
Omental pedicle graft with left gastroepiploic vessels is very rarely used extraabdominally and all existing techniques of graft mobilization and lengthening are related to the graft with right gastroepiploic vessels. The aim of this research was to present the new surgical preparation technique of the omental graft based on the left gastroepiploic vessels for omentomyelopexy. First 100 patients, with injuries of spinal cord on different levels, were included in this prospective clinical study. In all these cases we performed omentomyelopexy with omental pedicle graft based on the new surgical technique of omental mobilization and lengthening. The results revealed that the way of preparation of omental pedicle graft depended on the level of the spinal cord lesion: in most cases for the lesions of cervical spinal cord the omental grafts had to be lengthened, for the midthoracic lesions omental graft was prepared without lengthening, while for the thoracolumbar lesions, only a part of omentum for graft was mostly used. The new surgical technique for preparation of omental pedicle graft for omentomyelopexy enabled the application of one of three possibilities for omentum lengthening. It depended on the type of omental vascularization, based on our own original classification and not on the level of spinal cord lesion. The preparation of omental pedicled graft with the left gastroepiploic vessels enabled the omentomyelopexy regardless of the level of spinal cord injury.
带左胃网膜血管的网膜蒂移植很少用于腹外，现有的所有移植动员和延长技术都与带右胃网膜血管的移植有关。本研究的目的是介绍基于左胃网膜血管的网膜移植用于网膜脊髓固定术的新手术准备技术。首先，100例不同节段脊髓损伤患者被纳入这项前瞻性临床研究。在所有这些病例中，我们基于网膜动员和延长的新手术技术，用网膜蒂移植进行网膜脊髓固定术。结果显示，网膜蒂移植的制备方式取决于脊髓损伤的节段：在大多数情况下，对于颈段脊髓损伤，网膜移植需要延长；对于胸段中部损伤，网膜移植无需延长即可制备；而对于胸腰段损伤，仅使用部分网膜作为移植材料。用于网膜脊髓固定术的网膜蒂移植新手术技术能够应用三种网膜延长可能性中的一种。这取决于网膜血管化的类型，基于我们自己的原始分类，而不是脊髓损伤的节段。带左胃网膜血管的网膜蒂移植的制备使得无论脊髓损伤节段如何，都能进行网膜脊髓固定术。
