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Moores et al. Plast Aesthet Res 2018;5:44 Plastic and
DOI: 10.20517/2347-9264.2018.32 Aesthetic Research

Case report Open Access

Pedicled omentum for coverage of extra-abdominal
vascular bypass graft in the groin

Neal G. Moores, Christopher J. Pannucci

Department of Plastic Surgery, University of Utah, SLC, UT 84123, USA.

Correspondence to: Dr. Neal G. Moores, Department of Plastic Surgery, University of Utah, SLC, UT 84123, USA.
E-mail: nealmoores02@gmail.com

How to cite this article: Moores NG, Pannucci CJ. Pedicled omentum for coverage of extra-abdominal vascular bypass graft in the groin.
Plast Aesthet Res 2018;5:44. http://dx.doi.org/10.20517/2347-9264.2018.32

Received: 13 May 2018 First Decision: 13 Jul 2018 Revised: 28 Aug 2018 Accepted: 29 Sep 2018 Published: 13 Nov 2018
Science Editor: Raúl González-García Copy Editor: Cui Yu Production Editor: Zhong-Yu Guo

Abstract

The omentum is a well-established pedicled flap for coverage of intra-abdominal and thoracic pathology, and as a free-
flap for a multitude of applications. Its use as a pedicled flap for extra-abdominal applications other than those on the
chest is less well described. Here we present a case where a pedicled omental flap was utilized to provide circumferential
and buried coverage of an in-line ilio-femoral bypass graft well below the level of the inguinal ligament. The reach of the
omentum was more than adequate, and the delicate nature of the flap provided excellent circumferential coverage of a
cryo-vein bypass graft.

Keywords: Omentum, pedicled omentum, reconstruction, groin reconstruction

INTRODUCTION
Salvage of infected vascular bypass grafts continues to present one of the most complex reconstructive
algorithms for both vascular, and plastic surgeons. Graft infection necessitates graft explantation and extra-
anatomic bypass, most often with additional synthetic material. These multiply comorbid patients suffer long
periods of convalescence in the ICU with attendant bed-rest, ventilator dependency and sepsis.

The omentum is a well established source of intra-abdominal coverage for gastrointestinal (GI), urologic, and
[1-3]
vascular anastomotic coverage . As a pedicled flap it is often used to cover extra-abdominal pathology on
[4-8]
the thorax, and as a free flap it may be used in any location . However, its use as a pedicled flap for extra-
abdominal reconstruction has hitherto been largely limited to chest wall reconstruction. Here we present

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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and indicate if changes were made.

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