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Omentoplasty Periprocedural Care

  • Author: Ashwin Pai, MBBS; Chief Editor: Kurt E Roberts, MD  more...
Updated: Aug 11, 2014


The standard laparotomy set is required for omentoplasty; it includes the following:

  • Scalpel with No. 11 and No. 15 blades
  • Curved and straight artery forceps
  • A pair of toothed thumb forceps
  • A pair of nontoothed forceps
  • Allis forceps
  • Noncrushing intestinal clamps
  • Surgical cautery
  • Hemostatic clips or ligatures
  • Handheld ultrasonic dissector (if available)
  • Abdominal wall retractors or self-retaining retractors
  • Atraumatic visceral retractors
  • Suture materials (absorbable and nonabsorbable)
  • Anastomotic staplers

Patient Preparation

Infection (followed by graft extrusion) are the most common complications. Prevention requires thorough preoperative preparation, administration of antibiotics prophylaxis before the procedure, and strict maintenance of intraoperative sterility.

General anesthesia is preferred for this procedure. An epidural block may be added for postoperative pain management. After anesthesia induction, a 16-F or 18-F Ryle tube is passed and kept on continuous drainage. The patient is then catheterized with a 14-F Foley catheter so that intraoperative and postoperative urine output can be monitored.

The patient is placed in a supine position, and preparation should include the whole of the abdomen, as well as the affected limb in which the omental transplant is planned.


Monitoring and Follow-Up

Patients are assessed 7 days, 1 month, and 3 months after undergoing omentoplasty. The success of the procedure is evaluated both subjectively and objectively. The primary subjective criterion is symptomatic improvement. The main objective criteria include the following:

  • Improvement in the local skin temperature
  • Healing of ulcers and the amputation site
  • Improved oxygen saturation values on pulse oximetry
Contributor Information and Disclosures

Ashwin Pai, MBBS MS (GenSurg), MRCS, Honorary Assistant Medical Officer, Department of Surgery, Kasturba Medical College, India

Disclosure: Nothing to disclose.

Chief Editor

Kurt E Roberts, MD Assistant Professor, Section of Surgical Gastroenterology, Department of Surgery, Director, Surgical Endoscopy, Associate Director, Surgical Skills and Simulation Center and Surgical Clerkship, Yale University School of Medicine

Kurt E Roberts, MD is a member of the following medical societies: American College of Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons

Disclosure: Nothing to disclose.

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Omentoplasty. Omentum being mobilized.
Omentoplasty. Omentum being mobilized to reach below knee.
Omentoplasty. Skin incisions made on limb for subcutaneous tunneling of omentum.
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