NYMC Faculty Publications

Utilization of an Omental J-Flap in Complex Gynecological Surgeries

Author Type(s)

Faculty

DOI

10.1089/gyn.2021.0006

Journal Title

Journal of Gynecologic Surgery

First Page

33

Last Page

37

Document Type

Article

Publication Date

2-1-2022

Department

Obstetrics and Gynecology

Abstract

Objective: The goal of this research was to evaluate the clinical outcomes of performing pedicled omental J-flap omentoplasty in gynecologic patients.

Materials and Methods: This retrospective observational study occurred at a tertiary-care medical center in Staten Island, NY, from October 16, 2009 to December 17, 2015. Consecutive patients who underwent omentoplasty with an omental J-flap during their index gynecologic surgeries were included. Electronic medical records were reviewed to collect data on patient demographics, intraoperative and perioperative outcomes, and clinical outcomes.

Results: A total of 27 women (mean age: 46.1 years; range: 24-81 years) underwent omentoplasty using pedicled omental J-flaps. The majority of these surgeries were performed laparoscopically (23; 85.2%). The omental J-flaps were used after extensive dissection and denuding in 16 patients (59.3%); and following repair of bladder injury in 5 patients (18.5%), bowel injury in 3 patients (11.1%), and ureteral injury in 3 patients (11.1%). There were no intraoperative or immediate postoperative complications at 2-week and 6-week follow-ups. Long term follow-up >6 weeks occurred for 24 (88.8%) of patients. The median time of follow-up was 76.4 months (range 2–136 months). No complications of omental-flap necrosis, cuff dehiscence, or fistula formation occurred.

Conclusions: The inherent physiologic properties of the omentum, and the anatomical feasibility and safety of omentoplasty warrant possibly using omental J-flaps in complex gynecologic surgeries to augment revascularization and healing. (J GYNECOL SURG 38:33)

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