A novel modification of omental transposition to reduce the risk of gastrointestinal herniation into the chest

We have evolved and used a simple technique that refines omentoplasty in chest wall reconstruction. Although our series is small, the technique appears to be safe, with a low complication rate. One patient died early from causes unrelated to the omental surgery; another died late, also from unrelated causes. In the remaining two patients, no postoperative gastrointestinal herniation into the chest has been identified. This technique may represent a potential solution to a known problem in omental transposition. We anticipate it may become increasingly useful in reducing morbidity and mortality rates for gastrointestinal herniation following laparotomy during sternal reconstruction.