Annals of Surgical Oncology

, Volume 22, Issue 8, pp 2540–2550 | Cite as

Omentum for Mammary Disorders: A 30-Year Systematic Review

  • Francisco ClaroJr.
  • Luís Otávio Zanatta Sarian
  • Aarão Mendes Pinto-Neto
Breast Oncology

Abstract

Purpose

Although the safety of applying omentum to the female breast for total breast reconstruction is controversial, it has recently been used to treat certain mammary disorders as well. A systematic review was therefore conducted to analyze and establish the suitability and safety of applying omentum to the breast.

Methods

Covereing the interval from January 1984 to December 2013, we performed searches in MEDLINE, Embase, SciELO, and Google-Scholar for original articles describing the applicability of greater omentum to the breast and its clinical complications.

Results

Sixty observational articles with 985 women were chosen. The main clinical indications were total breast reconstruction after mastectomy due to breast cancer (45 studies), radiation damage (23 studies), and congenital Poland syndrome (4 studies). Altogether, 273 complications were identified among the 985 women treated. The most frequent was flap necrosis (26.74 %). The most serious was injury to the digestive system (1.10 %). There was a 35.48 % incidence of local breast cancer recurrence in eight observational studies on oncological risk. Seven of the eight included only women with advanced cancer. One of these studies reported the incidence and relapse time predominantly according to the primary tumor size.

Conclusions

Although the oncological risk remains unclear, there was a high volume of complications that affected the digestive system. These findings suggest that omentum has well established applicability, but only for total breast reconstruction of huge defects, where muscular/myocutaneous or perforator flaps may be unsuitable.

Keywords

Breast Reconstruction Great Omentum Vascular Pedicle Flap Necrosis Primary Tumor Size 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgment

This research was supported by the salary provided to Dr. Claro Jr. by “Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES),” a Brazilian federal institution for postgraduate programs.

Disclosure

The authors of this manuscript have no conflicts of interest to disclose.

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Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  • Francisco ClaroJr.
    • 1
    • 2
  • Luís Otávio Zanatta Sarian
    • 1
  • Aarão Mendes Pinto-Neto
    • 1
  1. 1.Department of Gynecology and Obstetrics, School of Medical SciencesState University of Campinas – UNICAMPCampinasBrazil
  2. 2.Santa Cruz Plastic Surgery Institute – ICPSCSão PauloBrazil

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