Omentoplasty to assist perineal defect closure following laparoscopic abdominoperineal resection
Abstract
Aim:
This technical note describes laparoscopic production of a well vascularized, omental flap of adequate size to fill the pelvic floor defect in the course of laparoscopic abdominoperineal resection (LAPR).
Method:
The omentum is laparoscopically mobilized and transposed to the pelvis following full LAPR in three discrete stages.
Results:
Laparoscopic omental mobilization, transfer and buttressing of a primary perineal repair reduces pelvic dead space and facilitates closure following LAPR with minimal additional operative time or complications and a potential reduction in perineal wound associated morbidity.
Conclusion:
Laparoscopic omental mobilization is technically feasible and provides a safe method to aid perineal wound closure.
