Pedicled Omental Flaps in the treatment of complex spinal wounds after en-bloc resection of spine tumors

Publication date: Available online 16 June 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Andrea Sambri, Alessandro Gasbarrini, Sergio Cialdella, Pierandrea De Iaco, Stefano Boriani
Study DesignA retrospective study of 5 patients who underwent pedicled omental flap following spine tumor removal.Summary of Background DataPostoperative wound dehiscence represents a major complication in spinal surgery, in particular after en-bloc tumor resections, due to the extended sacrifice of soft tissues and adjuvant radiation and chemotherapies.MethodsFive patients (mean age of 52 years (range, 24-71 years) who underwent omental flaps for the treatment of post-operative complication in spine tumor resections were retrospectively evaluated.ResultsFour out of 5 patients underwent omental transposition after a mean of 15 months (range, 4-27) from the previous surgery because of a dehiscence of the wound (all of them had cerebrospinal fluid leak, 1 transpleural, in 3 cases associated to deep infection) whereas 1 patient underwent the omental flap procedure at the time of elective spinal surgery because of several contemporary risk factors for wound healing.At the time of discharge after a mean of 36 days (range, 23-53), all patients had well-healed surgical wounds with an acceptable structural and aesthetic result.One of the patients had ileus, requiring a surgical lysis of abdominal adhesions 3 months after omentum flap procedure. No other complications were observed.ConclusionOur data suggest that a pedicled omental flap is a viable option for the treatment of complicated spinal wounds, helping in the resolution of the infection and CSF leak.



from #MedicinebyAlexandrosSfakianakis via xlomafota13 on Inoreader http://ift.tt/2rCViit
via IFTTT