| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 95, 677-684, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DJ Mathisen, HC Grillo, GJ Vlahakes and WM Daggett
The pedicled omentum finds use in cardiothoracic surgery for management of
complicated problems and prevention of serious complications. Its blood
supply is excellent and is capable of inducing neovascularity. Based on the
right gastroepiploic artery, it reaches anywhere in the thorax or neck. Its
bulk helps to fill infected spaces. Thirty-seven patients have been treated
with the pedicled omentum. In 16 patients the goal was preventive, to avoid
bleeding, anastomotic leakage, or infection or to provide a source of
fibroplasia or neovascularity. In eight patients with cervical exenteration
the flap protected against innominate artery erosion and esophageal
leakage, generally in an irradiated field. In six patients it permitted
primary healing of heavily irradiated trachea--formerly unlikely. It was
also used to provide coverage of a chest wall prosthesis in two patients.
In 21 patients the omentum was used to obtain healing in the presence of
infection. Bronchopleural fistulas were successfully closed in eight of
nine patients. Six mediastinal infections that developed after cardiac
operations were successfully treated. Four unusual vascular infections
necessitated the use of omentum. Two patients had closure of esophageal
perforations buttressed with omentum. This series demonstrates the efficacy
of the omentum in the management of complex cardiac, vascular, esophageal,
tracheal, bronchial, pleural, and chest wall problems.
ARTICLES
The omentum in the management of complicated cardiothoracic problems
General Thoracic Surgical Unit, Massachusetts General Hospital, Boston 02114.
This article has been cited by other articles:
|
|
 |
|
  V. Chittithavorn, C. Rergkliang, A. Chetpaophan, and T. Simapattanapong Single-stage omental flap transposition: modality of an effective treatment for deep sternal wound infection Interact CardioVasc Thorac Surg, June 1, 2011; 12(6): 982 - 986. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. B. Ris, E. Pezzetta, T. Krueger, and D. Lardinois Surgical treatment of pleural infections: the surgeon's point of view Surgery for Non-Neoplastic Disorders of the Chest: a Clinical Update, June 28, 2010; 181 - 198. [Abstract] [Fulltext] [PDF]
|
|
|
|
 |
|
 D. R. Brinster, R. J. Rizzo, and R. M. Bolman III Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2008; 3(2008): 1223 - 1250. [Full Text]
|
|
|
|
 |
|
 N. Misaki, Y. Yamamoto, T. Okamoto, S. S. Chang, H. Igai, M. Gotoh, Y. Tabata, and H. Yokomise Intra-thoracic fibrous tissue induction by polylactic acid and epsilon-caprolactone copolymer cubes, with or without slow release of basic fibroblast growth factor Eur J Cardiothorac Surg, November 1, 2007; 32(5): 761 - 765. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Tsukada and H. Osada Experimental study of a new tracheal prosthesis: Pored Dacron tube J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 877 - 884. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Puma, C. Fedeli, P. Ottavi, G. Porcaro, G. Battista Fonsi, A. Pardini, and G. Daddi Laparoscopic omental flap for the treatment of major sternal wound infection after cardiac surgery J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1998 - 2002. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. B. Shrager, J. C. Wain, C. D. Wright, D. M. Donahue, G. J. Vlahakes, A. C. Moncure, H. C. Grillo, and D. J. Mathisen Omentum is highly effective in the management of complex cardiothoracic surgical problems J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 526 - 532. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Anderson, R. J. Rizzo, and L. H. Cohn Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2003; 2(2003): 1123 - 1148. [Full Text]
|
|
|
|
|
|
C. Kotoulas, G. Lazopoulos, C. Foroulis, M. Konstantinou, P. Tomos, and A. Lioulias Wedge resection of the bronchus: an alternative bronchoplastic technique for preservation of lung tissue Eur J Cardiothorac Surg, October 1, 2001; 20(4): 679 - 683. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Mathisen The trachea Ann. Thorac. Surg., June 1, 2001; 71(6): 2075 - 2076. [Full Text] [PDF]
|
|
|
|
 |
|
 A. C. Moncure Tenax Propositi on Uncharted Seas Arch Surg, April 1, 2001; 136(4): 376 - 382. [Full Text] [PDF]
|
|
|
|
|
|
Y. Kuwabara, A. Sato, M. Mitani, N. Shinoda, K. Hattori, T. Suzuki, and Y. Fujii Use of omentum for mediastinal tracheostomy after total laryngoesophagectomy Ann. Thorac. Surg., February 1, 2001; 71(2): 409 - 413. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Mathisen Invited commentary Ann. Thorac. Surg., February 1, 2001; 71(2): 413 - 413. [Full Text] [PDF]
|
|
|
|
|
|
M. Sonobe, M. Nakagawa, M. Ichinose, N. Ikegami, M. Nagasawa, and T. Shindo Analysis of risk factors in bronchopleural fistula after pulmonary resection for primary lung cancer Eur J Cardiothorac Surg, November 1, 2000; 18(5): 519 - 523. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Widmer, T. Krueger, D. Lardinois, A. Banic, and H. B. Ris A comparative evaluation of intrathoracic latissimus dorsi and serratus anterior muscle transposition Eur J Cardiothorac Surg, October 1, 2000; 18(4): 435 - 439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Yatsuyanagi, S. Hirata, K. Yamazaki, T. Sasajima, and Y. Kubo Anastomotic complications after bronchoplastic procedures for nonsmall cell lung cancer Ann. Thorac. Surg., August 1, 2000; 70(2): 396 - 400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Yamamoto, H. Tada, A. Kishi, and T. Tojo Effects of preoperative chemotherapy and radiation therapy on human bronchial blood flow J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 939 - 945. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. de Perrot and A. Spiliopoulos Postpneumonectomy bronchopleural fistula Ann. Thorac. Surg., November 1, 1999; 68(5): 1886 - 1887. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Harada, J. Yoshida, T. Yokose, Y. Nishiwaki, and K. Nagai Surgical Management of Primary Lung Cancer in an Elderly Patient with Preoperative Empyema Jpn. J. Clin. Oncol., November 1, 1999; 29(11): 571 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Yokoyama, M. Sadahiro, A. Iguchi, M. Ohmi, K. Tabayashi, and S. Tanaka Remnant omental transfer for the mediastinitis after coronary bypass surgery with right gastroepiploic artery Ann. Thorac. Surg., July 1, 1999; 68(1): 269 - 271. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Coselli, C. Koksoy, and S. A. LeMaire Management of thoracic aortic graft infections Ann. Thorac. Surg., June 1, 1999; 67(6): 1990 - 1993. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Regnard, P. Icard, P. Magdeleinat, B. Jauffret, E. Fares, and P. Levasseur COMPLETION PNEUMONECTOMY: EXPERIENCE IN EIGHTY PATIENTS J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1095 - 1101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Milano, G. Georgiade, L. H. Muhlbaier, P. K. Smith, and W. G. Wolfe Comparison of omental and pectoralis flaps for poststernotomy mediastinitis Ann. Thorac. Surg., February 1, 1999; 67(2): 377 - 380. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Gharagozloo, G. Trachiotis, A. Wolfe, K. J. DuBree, and J. L. Cox PLEURAL SPACE IRRIGATION AND MODIFIED CLAGETT PROCEDURE FOR THE TREATMENT OF EARLY POSTPNEUMONECTOMY EMPYEMA J. Thorac. Cardiovasc. Surg., December 1, 1998; 116(6): 943 - 948. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. B. de la Riviere, J. J. Defauw, P. J. Knaepen, H. A. van Swieten, R. C. Vanderschueren, and J. M. van den Bosch Transsternal Closure of Bronchopleural Fistula After Pneumonectomy Ann. Thorac. Surg., October 1, 1997; 64(4): 954 - 957. [Abstract] [Full Text]
|
|
|
|
|
|
T. Suzuki, S. Suzuki, Y. Kamio, and G. Hori CLOSURE WITH BRONCHIAL WALL FLAP AND OMENTAL PEDICLE OF DEFECT CAUSED BY DEHISCENCE OF TRACHEAL SUTURE LINE AFTER EXTENDED RIGHT UPPER SLEEVE LOBECTOMY J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 1116 - 1117. [Full Text]
|
|
|
|
|
|
K. M. Al-Kattan, N. M. Breach, D. K. Kaplan, and P. Goldstraw Soft-tissue reconstruction in thoracic surgery Ann. Thorac. Surg., November 1, 1995; 60(5): 1372 - 1375. [Abstract] [PDF]
|
|
|
|
|
|
T. C. Mineo and V. Ambrogi Early closure of the postpneumonectomy bronchopleural fistula by pedicled diaphragmatic flaps Ann. Thorac. Surg., September 1, 1995; 60(3): 714 - 715. [Abstract] [PDF]
|
|
|
|
|
|
C.-l. Huang, M. Kitano, T. Shindo, and M. Nagasawa Systemic artery-to-pulmonary artery shunt after using an omental pedicle flap Ann. Thorac. Surg., April 1, 1995; 59(4): 993 - 995. [Abstract] [PDF]
|
|
|
|
|
|
D. D. Muehrcke, H. C. Grillo, and D. J. Mathisen Reconstructive airway operation after irradiation Ann. Thorac. Surg., January 1, 1995; 59(1): 14 - 18. [Abstract] [PDF]
|
|
|
|
|
|
N. Wang, S. R. Sparks, and L. L. Bailey Staged repair using omentum for posttraumatic aortoesophageal fistula Ann. Thorac. Surg., August 1, 1994; 58(2): 557 - 559. [Abstract] [PDF]
|
|
|
|
|
|
E. A. Rendina, F. Venuta, P. Ricci, G. F. Fadda, D. A. Bognolo, C. Ricci, and P. Rossi Protection and revascularization of bronchial anastomoses by the intercostal pedicle flap J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1251 - 1254. [Abstract] [Full Text]
|
|
|
|
|
|
R. Nakanishi, T. Shirakusa, and T. Takachi Omentopexy for tracheal autografts Ann. Thorac. Surg., April 1, 1994; 57(4): 841 - 845. [Abstract] [PDF]
|
|
|
|
|
|
J. F. Regnard, P. Icard, M. Deneuville, B. Jauffret, P. Magdeleinat, J. F. Levi, and P. Levasseur Lung resection after high doses of mediastinal radiotherapy (sixty grays or more)Reinforcement of bronchial healing with thoracic muscle flaps in nine cases J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 607 - 610. [Abstract] [Full Text]
|
|
|
|
|
|
M. B. Orringer Anterior mediastinal tracheostomy with and without cervical exenteration Ann. Thorac. Surg., October 1, 1992; 54(4): 628 - 637. [Abstract] [PDF]
|
|
|
|
|
|
H. C. Grillo, H. C. Suen, D. J. Mathisen, and J. C. Wain Resectional management of thyroid carcinoma invading the airway Ann. Thorac. Surg., July 1, 1992; 54(1): 3 - 10. [Abstract] [PDF]
|
|
|
|
|
|
D. E. Paull and B. A. Keagy Management of aortobronchial fistula with graft replacement and omentopexy Ann. Thorac. Surg., December 1, 1990; 50(6): 972 - 974. [Abstract] [PDF]
|
|
|
|
|
|
T. Shirakusa, H. Ueda, S. Takata, S. Yoneda, K. Inutsuka, N. Hirota, and M. Okazaki Use of pedicled omental flap in treatment of empyema Ann. Thorac. Surg., September 1, 1990; 50(3): 420 - 424. [Abstract] [PDF]
|
|
|
|
|
|
A. D. Slater, J. P. Gott, G. R. Tobin II, and L. A. Gray Jr Management of extensive right ventricular injury or rupture Ann. Thorac. Surg., May 1, 1990; 49(5): 810 - 813. [Abstract] [PDF]
|
|
|
|
|
|
H. C. Grillo and D. J. Mathisen Cervical exenteration Ann. Thorac. Surg., March 1, 1990; 49(3): 401 - 409. [Abstract] [PDF]
|
|
|
|
|
|
M. B. Orringer and M. C. Stirling Esophagectomy for esophageal disruption Ann. Thorac. Surg., January 1, 1990; 49(1): 35 - 43. [Abstract] [PDF]
|
|
|
|
|
|
A. J. B. Kirk, I. D. Conacher, P. A. Corris, T. Ashcroft, and J. H. Dark Successful surgical management of bronchial dehiscence after single-lung transplantation Ann. Thorac. Surg., January 1, 1990; 49(1): 147 - 149. [Abstract] [PDF]
|
|
|
|
|
|
H. C. Grillo Notes on the windpipe Ann. Thorac. Surg., January 1, 1989; 47(1): 9 - 26. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
