Negative pressure wound therapy to promote fixation and remodeling of omental flap in patients with revascularized limbs. A case-series.

We present our experience with five patients with CLTI treated with distal revascularization and omental flap coverage. We decided to investigate the efficacy and safety of NPWT (negative-pressure wound therapy) in promoting the fixation and remodeling of the omental flap as there is some evidence in the literature about the optimization of results for skin graft and dermal substitutes. Surgical revascularization was always the first procedure attempted; wound coverage was realized 3-5 days after the primary procedure (omental free-flap in three patients and omental flow-through flap in two patients).
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research