fig1

Figure 1. (A) The laparoscopic harvesting of the greater omentum is performed simultaneously with the dissection of the internal mammary vessels to prepare for microvascular anastomosis. Fat for the augmentation of the omental free flap is obtained through liposuction; (B) A contour acellular dermal matrix sheet is shaped around an inflated tissue expander, and its edges are secured with polydioxanone II sutures to form a pocket for the omental fat augmentation flap. An opening is preserved to facilitate the delivery of the vascular pedicles (gastroepiploic vessels) for (C) microanastomoses to the internal mammary vessels. The augmentation of the omental free flap is completed using the Coleman lipoinjection technique; (D) Pre-op vs. (E) Post-op.