THE USE OF OMENTAL TRANSPOSITION IN THE TREATMENT OF RECURRENT SARCOMA OF THE BACK

We report 2 patients with paraspinous sarcoma treated with omental tra nsposition tunneled through a defect in the lumbar fascia that resurfa ced in the soft tissues of the lower back. Traditional reconstruction with skin flaps was unsatisfactory because of prior irradiation to the area. In 1 patient the omentum obliterated a cavity connecting the du ra to the skin to prevent cerebrospinal fluid leak. In the other patie nt a large soft tissue defect overlying the lower back and dura was co vered with omentum and skin grafted. Although both patients lived <2 y ears, the durable wound coverage remained intact over the surgical sit e.