Transretroperitoneal Pedicled Omental Flap for Coverage of Traumatic Sacral Defect: A Case Report

William J. Bruce, MD; Danielle R. Olla, MD; James W. Feimster, MD; Lauren M. Woldanski, MD; Kyle D. Hart, MD; Adam Reid, MD, FACS, FASMBS; Bradley Schwartz, DO, FACS; Nada N. Berry, MD

doi:10.1097/GOX.0000000000004298

Plastic and Reconstructive Surgery, Global Open (May 2022)

Transretroperitoneal Pedicled Omental Flap for Coverage of Traumatic Sacral Defect: A Case Report

William J. Bruce, MD,
Danielle R. Olla, MD,
James W. Feimster, MD,
Lauren M. Woldanski, MD,
Kyle D. Hart, MD,
Adam Reid, MD, FACS, FASMBS,
Bradley Schwartz, DO, FACS,
Nada N. Berry, MD

Affiliations

William J. Bruce, MD: From the * Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.
Danielle R. Olla, MD: From the * Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.
James W. Feimster, MD: † Department of Surgery, Division of General Surgery, Southern Illinois University School of Medicine, Springfield, Ill.
Lauren M. Woldanski, MD: From the * Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.
Kyle D. Hart, MD: ‡ Department of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, Ill.
Adam Reid, MD, FACS, FASMBS: † Department of Surgery, Division of General Surgery, Southern Illinois University School of Medicine, Springfield, Ill.
Bradley Schwartz, DO, FACS: ‡ Department of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, Ill.
Nada N. Berry, MD: From the * Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.

DOI: https://doi.org/10.1097/GOX.0000000000004298
Journal volume & issue: Vol. 10, no. 5
p. e4298

Abstract

Read online

Summary:. The greater omentum is a reliable choice for salvage soft-tissue reconstruction. Benefits include consistent anatomy, long pedicle length, and a high concentration of lymphatic tissue that is resistant to infection. We report the case of a 46-year-old man with a complex traumatic sacral wound resulting in severe limitation of reconstructive options. A pedicled greater omentum flap was transposed through the retroperitoneum via the lumbosacral triangle, resulting in durable soft-tissue coverage.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

About the journal