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Transposition of the greater omentum in the prevention and treatment of radiation injury.

Identifieur interne : 005A69 ( PubMed/Curation ); précédent : 005A68; suivant : 005A70

Transposition of the greater omentum in the prevention and treatment of radiation injury.

Auteurs : R J Williams [Royaume-Uni] ; H. White

Source :

RBID : pubmed:1787900

Descripteurs français

English descriptors

Abstract

The greater omentum provides a tissue flap that can readily be transposed for surgical reconstruction both inside and outside the abdominal cavity. To prevent radiation enteritis, an omental sling or envelope can be constructed at the end of an abdominal operation to displace small bowel from the pelvis prior to radiotherapy. The immunological and angiogenic properties of the omentum are particularly useful when reconstruction is required in a region of late radiation injury. Indications for omental transposition in this context include reinforcement of anastomoses, pelvic fistula repair, chest wall and axillary reconstruction, vascular cover, pharyngostoma, bronchopleural fistula and possibly lymphoedema.

PubMed: 1787900

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Le document en format XML

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<nlm:affiliation>Department of Surgery, Royal Marsden Hospital, London, U.K.</nlm:affiliation>
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<name sortKey="White, H" sort="White, H" uniqKey="White H" first="H" last="White">H. White</name>
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<term>Enteritis (prevention & control)</term>
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<term>Radiation Injuries (prevention & control)</term>
<term>Radiation Injuries (surgery)</term>
<term>Surgical Flaps</term>
<term>Wound Healing (immunology)</term>
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<term>Cicatrisation de plaie (immunologie)</term>
<term>Entérite ()</term>
<term>Humains</term>
<term>Infection de plaie ()</term>
<term>Lambeaux chirurgicaux</term>
<term>Lésions radio-induites ()</term>
<term>Omentum ()</term>
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<term>Cicatrisation de plaie</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Enteritis</term>
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<term>Omentum</term>
<term>Radiation Injuries</term>
<term>Wound Infection</term>
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<term>Humans</term>
<term>Surgical Flaps</term>
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<term>Entérite</term>
<term>Humains</term>
<term>Infection de plaie</term>
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<div type="abstract" xml:lang="en">The greater omentum provides a tissue flap that can readily be transposed for surgical reconstruction both inside and outside the abdominal cavity. To prevent radiation enteritis, an omental sling or envelope can be constructed at the end of an abdominal operation to displace small bowel from the pelvis prior to radiotherapy. The immunological and angiogenic properties of the omentum are particularly useful when reconstruction is required in a region of late radiation injury. Indications for omental transposition in this context include reinforcement of anastomoses, pelvic fistula repair, chest wall and axillary reconstruction, vascular cover, pharyngostoma, bronchopleural fistula and possibly lymphoedema.</div>
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