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Fig. 3 | Surgical Case Reports

Fig. 3

From: Reconstruction with omental flap and negative pressure wound therapy after total pelvic exenteration of anal fistula cancer: a case report

Fig. 3

Methods for creating the omental flap and performing NPWTi-d. After ensuring the omentum was of sufficient volume and had adequate blood flow, it was mobilized to the perineal dead space, where the omental flap was created and NPWTi-d was performed. a Perineal findings after specimen removal. b Omentum after mobilization. c Adequate blood flow in the omental flap confirmed by intravenous injection of indocyanine green dye. d After application of the omental flap. e After application of the foam. f After application of negative pressure wound therapy with instillation and dwelling

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