ArticleTherapeutics and clinical risk management2017
Omentum flap as a salvage procedure in deep sternal wound infection.
Article in Therapeutics and clinical risk management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Robotic Omental Flap Harvest for Complex Thoracic Defects: Case Series and Review of the Literature.Medical sciences (Basel, Switzerland) · 2025Pooled it
- Extra-Abdominal Applications of the Greater Omentum in Canine and Feline Surgery: Current Knowledge, Surgical Techniques, and Clinical Perspectives.Animals : an open access journal from MDPI · 2026Review
- Role of omental flaps in thoracic surgery complications: a narrative review.Journal of thoracic disease · 2026Review
- Surgical relevance of a pedicled omental flap for the treatment of a recurrent giant mycotic left ventricular pseudoaneurysm: a case report and review of the literature.Journal of medical case reports · 2026Review
- Acute mediastinitis, mediastinal granuloma, and fibrosing mediastinitis: a narrative review.Mediastinum (Hong Kong, China) · 2026Review
- Article
- Systematic Review of Outcomes of Omental Free Flap in the Management of Lymphedema.Plastic and reconstructive surgery. Global open · 2025Article
- Omentoplasty in Surgical Interventions: A Comprehensive Review of Techniques and Outcomes.Cureus · 2024Review
- Antibiotic-loaded bone cement fixation technique combined with bilateral pectoralis major muscle flaps tension-free management for sternal infection after midline sternotomy.Journal of cardiothoracic surgery · 2024Article
- Laparoscopic harvest and free transplantation of great omentum flap for extensive tissue defects in complex wounds.JPRAS open · 2024Article
- The role of negative pressure wound therapy in the treatment of poststernotomy mediastinitis in Asians: A single-center, retrospective cohort study.Health science reports · 2023Article
- The Utility of the Omentum Flap for Complex Intrathoracic Problems.Plastic surgery (Oakville, Ont.) · 2023Article
- The management of deep sternal wound infection: Literature review and reconstructive algorithm.JPRAS open · 2021Review
- Resternotomy and coronary artery bypass grafting after omental flap procedure: A case report.Clinical case reports · 2020Article
- Bilateral partial pectoralis major muscle turnover flaps for the management of deep sternal wound infection following cardiac surgery.Journal of thoracic disease · 2020Article
- Cardioplastic Approach to Omental Flap Coverage for Severe Aortic Root Infections in the Opioid Era.Plastic and reconstructive surgery. Global open · 2020Article
- Engineering of functional cardiac tubes by stepwise transplantation of cardiac cell sheets onto intestinal mesentery.Heart and vessels · 2020Article
- LC-QTOF-MS andPathogens (Basel, Switzerland) · 2020Article
- Generation of a large-scale vascular bed for theRegenerative therapy · 2019Article
- Current indications for the intrathoracic transposition of the omentum.Journal of cardiothoracic surgery · 2019Review
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDeep sternal wound infections (DSWIs) are rare but devastating complication after median sternotomy following cardiac surgery. Especially in the presence of artificial material or inadequate preliminary muscle flaps, the pedicled omentum flap is due to its immunological properties, the predetermined flap in salvage procedures.
methodsWe treated 14 patients suffering a mediastinitis and open thorax using a pedicled omentoplasty as a salvage procedure because of persisting DSWIs. Omentoplasty was performed in combination with a split skin graft and the wound was closed by a vacuum-assisted therapy for 7 days. The patients' sex and comorbid risk factors supporting DSWIs as well as the postoperative complications were recorded.
resultsRetrospective analysis of 14 patients (10 males and four females) after a follow-up time of 24 months was performed. The average age was 75 years (range: 67-83). Heart surgery took place electively in eight cases, in three cases urgently and three for emergency reasons. The preoperative Euro Score was 16 (range 3.51-42.58). We had no flap loss in any patients. The skin graft showed a full take in all patients. Two patients needed revision of an abdominal wound dehiscence after laparotomy and one patient developed hernia in the late outcome. DISCUSSION: The greater omentum flap has, over many years, become an ideal partner in the coverage and treatment of DSWIs. Especially due to its immunologic capacity and amorphous structure, it has the ability to fill up cavities and cover infected artificial material so residual infections can be controlled.
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