Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle

One stage repair for an oesophageal fistula after pneumonectomy using an omental pedicle flap.

A 67 year old man developed an oesophageal fistula after a pneumonectomy that was complicated by an empyema. An omental pedicle flap was brought through the diaphragm to repair the fistula and to fill the empyema space. The outcome was successful.

Closure of a pharyngocutaneous fistula using a sternomastoid muscle flap.

Presented here is a case of a pharyngocutaneous fistula which was closed primarily using a sternomastoid muscle flap, without skin coverage, thus obviating the need for a three-layered closure. Providing an intermediate cover was sufficient for the closure because the mucosal lining on the inside and the cutaneous covering on the outside grew using the muscle for support.

Proximal vascular pedicle preservation for sartorius muscle flap transposition.

BACKGROUND A variety of muscle flaps have been described to treat complex groin wounds associated with infected and/or exposed femoral vessels or vascular grafts and persistent lymphatic leaks, and for prophylaxis against wound breakdown following inguinal lymphadenectomy. The sartorius muscle flap has several advantages over other muscle flaps: it is immediately adjacent to the groin, it is ea...

Wrapping of the omental pedicle flap around esophagogastric anastomosis after esophagectomy for esophageal cancer.

BACKGROUND Esophagogastrectomy for esophageal cancer is the standard surgical treatment as a curative measure or for palliation. Esophagogastric anastomotic leakage and stricture are common life-threatening postoperative complications (more so if the leakage occurs in the chest), and the success of the anastomosis created in the reconstruction of the resected esophagus can highly influence morb...