Omentopexy
Omentopexy is a surgical procedure that involves the fixation of the omentum, a large fatty structure that hangs down from the middle of the colon (large intestine), to another area in the abdomen. This procedure is often performed to promote healing and prevent complications in certain abdominal surgeries.
Indications
Omentopexy is typically indicated in cases where there is a need to provide additional support or protection to an area in the abdomen that has been surgically treated. This includes surgeries for gastrointestinal perforation, gastrectomy, and gastric bypass surgery. It is also used in the treatment of abdominal wall hernias and abdominal adhesions.
Procedure
During an omentopexy, the surgeon will first make an incision in the abdomen to access the omentum. The omentum is then carefully detached from the colon and moved to the area that requires additional support or protection. The omentum is then sutured in place. The procedure is typically performed under general anesthesia.
Risks and Complications
As with any surgical procedure, omentopexy carries certain risks and potential complications. These may include infection, bleeding, damage to surrounding organs, and the formation of new abdominal adhesions. In rare cases, the omentum may not fully adhere to the new location, requiring additional surgery.
Postoperative Care
Following an omentopexy, patients are typically monitored in the hospital for several days. Pain management and prevention of infection are key aspects of postoperative care. Patients may also require physical therapy to regain strength and mobility in the abdomen.
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Contributors: Prab R. Tumpati, MD