Laparoscopic harvest of omental flaps for reconstruction of complex mediastinal wounds.

Background: Omental harvest for complex poststernotomy mediastinal wounds has traditionally required a formal laparotomy in often high-risk patients, thus making it the procedure of last resort.

Methods: The charts of all patients who underwent a laparoscopic omental harvest at the Texas Endosurgery Institute were retrospectively reviewed.

Results: Seven patients, 4 males and 3 females with an average age of 65.