ArticlePlastic and reconstructive surgery. Global open2025
Systematic Review of Outcomes of Omental Free Flap in the Management of Lymphedema.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- 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
- [Advances in intra-abdominal vascularized lymph node transfer for treatment of limb lymphedema].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The omentum has unique angiogenic and immunologic properties, and its low risk of donor-site lymphedema makes it an ideal donor site for lymph node transfer. However, it is unpopular due to the technicalities and the possibility of donor site-related abdominal complications during its harvest. Methods: A systematic review was conducted on March 24, 2024, using PubMed, Scopus, and Ovid MEDLINE databases. The search terms "omental flap," "omentum flap," "lymphedema," and "free flap" yielded 99 articles. Only 7 full-text articles published within the past 25 years focusing on omental free flap for lymphedema management were included. Results: The review included 7 studies comprising 131 patients, predominantly women, with an average age of 54.75 years, most of whom had secondary lymphedema, primarily due to breast cancer. Clinical outcome measures showed significant limb volume reduction and improved lymphatic drainage, whereas patient-reported outcome measures indicated overall patient satisfaction and improved quality of life. The flap failure rate was 0.75%, and partial flap necrosis occurred in 2.25% of cases. Common donor-site complications included abdominal tension (2.29%) and dyspepsia (1.53%). Conclusions: This systematic review highlights the promising outcomes of omental free flap in lymphedema management, with low complication rates and significant improvements in both clinical and patient-reported outcomes.
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Registered trials
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