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the numerous gastric branches arising from the arch. If the region of interest cannot be reached merely by transposing the intact omentum, the novel pedicle technique based on the splenic arterial blood supply should be considered, with the additional bene t that the width of the pedicle tip can be extended considerably by unfolding the leaves of the pedicle.
Finally, although the omentum could be implemented as a free graft with microvascular transplantation free omental grafting is not commonly used in veterinary surgery and so far graft survival rates in dogs are poor.
As one can see the omentum can be used in a variety of conditions the abdominal and thoracic cavities as well as in reconstructive surgery, it deserves its nick-name: “the surgeon’s best friend”
Adams W, Ctercteko G, Bilous M: Effect of an omental wrap on the healing and vascularity of compromised intestinal anastomoses. Dis Colon Rectum 1992;35:731–738
Baltzer WI, Cooley S, Warnock JJ, et al: Augmentation of diaphyseal fractures of the radius and ulna in toy breed dogs using a free autogenous omental graft and bone plating. Vet Comp Orthop Traumatol 2015;28:131–139
Bigham-Sadegh A, Mirshokraei P, Karimi I, et al: Effects of adipose tissue stem cell concurrent with greater omentum on experimental long-bone healing in dog. Connect Tissue Res2012;53:334–342
Brockman DJ, Pardo AD, Conzemius MG, et al: Omentum-enhanced reconstruction of chronic nonhealing wounds in cats: techniques and clinical use. Vet Surg 1996;25:99–104
Doom M, Cornillie P, Simoens P, Huyghe S, and de Rooster H: The Omental Pedicle Flap in Dogs Revised and Re ned: A Cadaver Study Veterinary Surgery 45 (2016) 746–753VC
Hosgood G: The omentum—the forgotten organ: physiology and potential surgical applications in dogs and cats. Comp Cont Educ Vet Pract 1990;12:45– 51
Logmans A, Schoenmakers CH, Haensel CM, et al: High tissue factor concentration in the omentum, a possible cause of its hemostatic properties. Eur J Clin Invest 1996;26:82–83
The Omental Pedicle Flap in Dogs Revised and Re ned: A Cadaver Study
Marjan Doom1, Pieter Cornillie1, Paul Simoens1, Stephanie Huyghe2, and Hilde de Rooster
Logmans A, Schoenmakers CH, Haensel CM, et al: High tissue factor concentration in the omentum, a possible cause of its hemostatic properties. Eur J Clin Invest 1996;26:82–83
Karl S, Dupre G: Omentalisation of the head in cats: a cadaver study. J Feline Med Surg2012;14:295–298
Kawamura M, Miyagawa S, Fukushima S, et al: Enhanced survival of transplanted human induced pluripotent stem cell-derived cardiomyocytes by the combination of cell sheets with the pedicled omental  ap technique in a porcine heart. Circ J 2013;128:87–94
Lascelles BDX, Davison L, Dunning M, et al: Use of omental pedicle grafts in the management of non-healing axillary wounds in 10 cats. J Small Anim Pract 1998;39:475–480
Ross WE, Pardo AD: Evaluation of an omental pedicle extension technique in the dog. Vet Surg1993;22:37–43
Shrager J, Wain J, Wright C, et al: Omentum is highly effective in the management of complex cardiothoracic surgical problems. J Thorac Cardiovasc Surg 2003;125:526–532
Szekers J, Cserni G, Furka I, et al: Transplantation and microsurgical anastomosis of free omental grafts: experimental animal model of a new operative technique in dogs. Microsurgery2003;23:414–418
Valat B, Moisonnier P: The omentum: “the surgeon's friend.” Eur J Comp Anim Pract2004;14:57–67
An Urban Experience
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