Related Experiment Video
Updated: Feb 9, 2026
07:36
Intra-Omental Islet Transplantation Using h-Omental Matrix Islet filliNG hOMING
Published on: March 14, 2019
7.5K
Transdiaphragmatic omental harvest: a simple, efficient method for sternal wound coverage
Raj M Vyas1, Adnan Prsic, Dennis P Orgill
1Boston, Mass. From the Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School.
Plastic and Reconstructive Surgery
|November 13, 2012
Summary
Transdiaphragmatic omental harvest offers a safe and efficient alternative for sternal wound coverage. This method avoids laparotomy incisions, reducing potential complications associated with abdominal surgery.
Area of Science:
- Plastic Surgery
- Thoracic Surgery
- Surgical Innovation
Background:
- The greater omentum is a viable option for sternal wound coverage.
- Laparotomy incisions for omental harvest carry risks like bowel injury and hernia.
- A transdiaphragmatic approach has been developed to mitigate these risks.
Purpose of the Study:
- To compare the safety and efficacy of transdiaphragmatic versus laparotomy omental harvest for sternal wound coverage.
- To evaluate complication rates associated with each surgical approach.
Main Methods:
- Retrospective cohort analysis of 140 patients undergoing omental flap harvest.
- Patients were stratified into two groups based on access incision: laparotomy (n=80) or transdiaphragmatic (n=60).
Main Results:
- Both techniques ensured reliable sternal wound closure.
- The transdiaphragmatic approach demonstrated reduced operative time and blood loss.
- No significant difference in ventral hernia rates was observed; one bowel injury occurred in the laparotomy group.
Conclusions:
- Transdiaphragmatic omental harvest is a safe and efficient method for deep sternal wound coverage.
- This technique effectively avoids the need for a laparotomy incision and its associated complications.
Related Concept Videos
01:01Production Efficiency
18.4K
Net production efficiency (NPE) is the efficiency at which organisms assimilate energy into biomass for the next trophic level. Due to low metabolic rates and less energy spent on thermoregulatory processes, the NPE of ectotherms (cold-blooded animals) is 10 times higher than endotherms (warm-blooded animals).
18.4K
00:46Trophic Efficiency
25.2K
Trophic level transfer efficiency (TLTE) is a measure of the total energy transfer from one trophic level to the next. Due to extensive energy loss as metabolic heat, an average of only 10% of the original energy obtained is passed on to the next level. This pattern of energy loss severely limits the possible number of trophic levels in a food chain.
25.2K
01:10Simple Pendulum
8.1K
A simple pendulum consists of a small diameter ball suspended from a string, which has negligible mass but is strong enough to not stretch. In our daily life, pendulums have many uses, such as in clocks, on a swing set, and on a sinker on a fishing line.
The period of a simple pendulum depends on two factors: its length and the acceleration due to gravity. The period is completely independent of any other factors, such as mass or maximum displacement. For small displacements, a pendulum is...
The period of a simple pendulum depends on two factors: its length and the acceleration due to gravity. The period is completely independent of any other factors, such as mass or maximum displacement. For small displacements, a pendulum is...
8.1K
01:28Phases of Wound Repair
8.4K
Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
8.4K
01:21Simple Trusses
2.9K
A truss is a structural framework consisting of slender members connected at joints, designed to support external loads while minimizing material usage and weight. Simple trusses are a type of planar truss where all members lie within a single two-dimensional plane.
The most basic planar truss is a simple truss with three members arranged in a triangular formation. This triangular truss is inherently stable and rigid due to its geometry, making it an ideal starting point for creating more...
The most basic planar truss is a simple truss with three members arranged in a triangular formation. This triangular truss is inherently stable and rigid due to its geometry, making it an ideal starting point for creating more...
2.9K
01:21Simple Harmonic Motion
15.3K
Simple harmonic motion is the name given to oscillatory motion for a system where the net force can be described by Hooke's law. If the net force can be described by Hooke's law and there is no damping (by friction or other non-conservative forces), then a simple harmonic oscillator will oscillate with equal displacement on either side of the equilibrium position. To derive an equation for period and frequency, the equation of motion is used. The period of a simple harmonic oscillator is given...
15.3K