Table 2.
Patient table with operative details, defect size, follow-up and outcome.
| Patient | Procedure/defect size | Omental flap harvest | Anastomosis | Follow-up | Outcome |
|---|---|---|---|---|---|
| 1 | Debridment and omental free flap, STSG 140 cm2 to right hand | Laparoscopic-assisted | R. gastroepiploic A. to radial A. end to side, R. gastroepiploic V. end to side to cephalic V. | 9.5 years | Re-operation due to osteomyelitis 4 months later, debulking procedure 9 months later, Works as massage therapist |
| 2 | Debridments and omental free flap, STSG 540 cm2 to left upper extremity | Laparoscopic-assisted | R gastroepiploic A. to brachial A. end to side | 8 months | Abdominal donor site wound infection-healed with local wound care |
| R. gastroepiploic V. to brachial V. end to side | Upper extremity regaining function | ||||
| 3 | Excision of hypertrophic scar, release of webspace contractures extensor tendon realignment, omental free flap, STSG, 150 cm2 to left hand | Laparoscopic-assisted | R. gastroepiploic A. to radial snuff box end to side | 8 months | Minor skin graft loss-healed by secondary intention |
| R. gastroepiploic V. to cephalic V. | |||||
| 4 | Scar excision, tenolysis and omental free flap with STSG, 750 cm2 to right forearm | Laparotomy | R. gastroepiploic A. to brachial A. end to side, with saphanous V. interposition, R. gastroepiploic V. to brachial V. | 7 months | Defect covered, no complications |
| 5 | Debridment and bilateral free omental hemiflap Left 9.5 × 18.5 cm (176 cm2), Right 9 × 14 cm (126 cm2) covered with STSG | Laparotomy | Left: R. gastroepiploic A. end to side to left radial A., R. gastroepiploic V. end to end to left cephalic V. | 6 months | debridement and revision skin grafting of the left hand seven weeks post operatively |
| Right: R. omental A. end to side to the radial A. in the snuff box and R. omental A. end to end to a dorsal vein on the right dorsal hand | |||||
| 6 | Debridment and omental free flap with STSG 400 cm2 to right forearm | Laparotomy | R. gastroepiploic A. and V. to radial A. and antecubital V. end to end | 5 months | Defect covered, regaining function |
| 7 | Debridment and omental free flap with STSG 48 cm2 to right hand | Laparotomy | R gastroepiploic A. to radial snuff box end to side | 6 months | Defect covered adequate tendon function |
| R. gastroepiploic V. to cephalic V. end to end |
R. right, L left, A artery, V vein, STSG split-thickness skin graft