Transretroperitoneal Pedicled Omental Flap for Coverage of Traumatic Sacral Defect: A Case Report

William J. Bruce,Danielle R. Olla,James W. Feimster, Lauren M. Woldanski, Kyle D. Hart,Adam Reid,Bradley Schwartz,Nada N. Berry

Plastic and reconstructive surgery Global open（2022）

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Abstract
Summary: The greater omentum is a reliable choice for salvage soft-tissue reconstruction. Benefits include consistent anatomy, long pedicle length, and a high concentration of lymphatic tissue that is resistant to infection. We report the case of a 46-year-old man with a complex traumatic sacral wound resulting in severe limitation of reconstructive options. A pedicled greater omentum flap was transposed through the retroperitoneum via the lumbosacral triangle, resulting in durable soft-tissue coverage.
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