Use of omental transposition flaps for soft-tissue reconstruction.

Thirty-five patients with difficult wound problems underwent 35 reconstructive procedures using transposed greater omentum. The ages of the 28 female and 7 male patients ranged from 16 to 75 years, with an average of 50.5. At the time of omental transposition, 22 patients (63%) had evidence of radiation necrosis complicating their wounds, 24 (69%) had documented infections of their wounds before treatment, 30 (86%) had defects as a direct result of cancer, and 11 (31%) had recurrent carcinoma. The average duration of the defects, which were in the chest or abdominal wall, extremities, or pelvic floor, was 31.7 months. Small secondary revision procedures were occasionally required; however, the omentum remained the final solution to the problem for 26 (74%) of the 35 patients.