Omental transposition as an aid in genitourinary reconstructive procedures

Area of Science:

• Urology
• Surgical Innovation

Background:

• The omentum is a rich source of vascular and lymphatic tissue.
• Its properties allow it to promote healing, even in infected environments.

Purpose of the Study:

• To describe the technique for mobilizing an intact omental pedicle graft.
• To highlight its utility in complex genitourinary reconstructive procedures.

Main Methods:

• Mobilization involves detaching the omentum from the transverse colon and stomach.
• The right gastroepiploic artery is preserved for blood supply.
• Pedicle length is adjusted via selective omental division based on arterial anatomy.

Main Results:

• The omental pedicle graft maintains suppleness and allows epithelization.
• It serves as a useful adjunct in challenging reconstructive scenarios.

Conclusions:

• Omental pedicle grafting is a versatile technique for genitourinary reconstruction.
• It is particularly beneficial for complex fistulas and reconstructive procedures involving the bladder, urethra, and renal/ureteral systems.