Journal of Postgraduate Medicine
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 REVIEW ARTICLE
Year : 2001  |  Volume : 47  |  Issue : 2  |  Page : 137-42

Omentopexy for limb salvage in Buerger's disease: indications, technique and results.


Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India. , India

Correspondence Address:
S Talwar
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
India
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Source of Support: None, Conflict of Interest: None


PMID: 11832609

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Buerger's disease is a limb-threatening condition occurring in the young and productive age group and its management has always been a challenging problem. A large number of medical and surgical options have been suggested, but the quest for an ideal solution to this problem continues. Omentopexy for Buerger's disease is an attractive option, which is rapidly gaining popularity. We discuss the historical aspects, technical considerations and results of omental transfer for this limb-threatening condition. In doing so, the relevant literature on the subject has been extensively reviewed. In all published series, there has been marked improvement in intermittent claudication and rest pain. Ischaemic ulcers have healed and the progression of gangrene has stopped. If carried out with the complete understanding of the anatomy of the omental vascular arcade, the results of omentopexy are gratifying, thus avoiding amputation and conserving the limb.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow