The greater omentum is commonly used when there is a surgical indicati
on for a barrier between an aortic graft and the abdominal contents. T
here are few other options when the omentum is not available. A novel
approach is described for this purpose-Gerota's fascia flap. It is a s
imple, durable technique that can readily be used to provide extra tis
sue in the retroperitoneum for coverage of an aortic graft or possibly
an aortic stump.