Omental transfer for the treatment of radionecrosis of chest wall.

A technique is described for the treatment of non-healing deep ulcers of the chest wall following radiotherapy. These ulcers are avascular and may involve the costal cartilages. The skin around them is stretched and fixed, so that covering and healing them has been a challenging problem to surgeons. The method used in this patient utilized the transfer of the whole of the greater omentum attached to the greater curve of the stomach, which provides clean, vascular bed for the skin graft, and has been nature's best help to surgeons.