Dr Omnia Hassan Gohar, specialist of surgical oncology at DCI, Egypt. I have more than 12 years experience in surgical oncology. Dr. omnia have graduated with honors from Cairo University Faculty of Medicine in 2004. she has done master's degree in surgery in 2010, Ain Shams University. I have wide experience in variety of surgical oncological procedures and oncoplastic surgery especially breast and head - neck surgery. Dr. omnia have participated in researches about national statistics of cancer etiology and incidence.
Objective: Various options have been proposed to reconstruct the breast’s volume, including local flaps, expanders and implants, transposition of the latissimus dorsi, gluteus or the rectus abdominis muscle flaps. Although these techniques may achieve excellent results, these have been disappointing due to an additional scar is left in the patient’s donor region (Delay E el al., 1998). A technique of oncoplastic breast surgery (OBS) using laparoscopically harvested pedicled omental flap has been developed in the past 10 years in attempt to overlap donor-site deformity and morbidity. Since the early 21st century, European scholars reported breast reconstruction with laparoscopically obtained omental flap successively (Salz R et al,1993; Cothier-Savey I et al, 2001). A few years later, Zaha from Japan reported their experiences on breast reconstruction with laparascopically harvested omental flap after BCS and demonstrated the safety and feasibility of this procedure (Nishimura T et al, 2002; Ferron G et al, 2007).
Patients and methods: A prospective descriptive study had been conducted at Surgical Unit of OCMU, in which 25 Patients underwent immediate oncoplastic breast surgery (OBS) using laparoscopically harvested omental flap after breast conserving surgery (BCS) or skin sparing mastectomy in the period from June 2016 to January 2018.
Result: The omentum flap is very attractive method for breast reconstruction especially in lower inner quadrant which present an obstacle for oncoplastic surgeon for many years.
Conclusion: The omentum flap is extremely malleable, adapts easily, and has a long and reliable vascular pedicle with no addithional scar and little donor site morbidity. The employment of the omentum flap in breast reconstruction provides volume and consistency very similar to the contra-lateral breast alone or as soft coverage system that is thick enough to conceal silicone implants with a good aesthetic result.