This Omental plasty course will teach you:
- To use a part of the greater omentum to cover or fill a defect, augment arterial or portal venous circulation, absorb effusions or increase lymphatic drainage.
Special attention is paid to the following hazards you may encounter during the Omental plasty:
- Greater omentum dissection caudal to the gastroepiploic arch
With the following tips you might perform the Omental plasty even better:
- Dissection after adhesion formation
- Facilitating omental detachment
- Flap placement in the abdomen
- Abdominal wall incision
Step by step
Abdominal cavity approach
This approach is described in the course ‘Abdominal wall approaches’ under midline incision.
Upon entering the peritoneal cavity by dissection, the greater omentum is separated from adhesions in case of previous abdominal surgery.
Dissection after adhesion formation
Pathological adhesion formation can complicate the dissection of the greater omentum. It may be helpful to work on the anti-mesenteric side (no fat tissue) of the small intestine to prevent possible damage to the arteries.
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