Thoracic surgery with pedicled omental graft

Pedicled omental grafts were used successfully in 2 cases. A 66-year-old male who had had a left pneumonectomy for primary lung cancer 13 months earlier suffered from cough and dyspnea. A bronchopleural fistula was found on bronchoscopy. A pedicled omental graft was placed in the pleural cavity through a retrosternal route and fixed over the bronchopleural fistula. He is asymptomatic 8 months after the operation.A 59-year-old female had a right upper and middle lobectomy combined with resection of the chest wall for primary lung cancer. Reconstruction of the chest wall was performed with Marlex mesh as the prosthetic material. A pedicled omental graft was placed on the Marlex mesh through a percutaneous route and covered with a fullthickness skin graft. She is doing well 7 months after the operation.