Use of omental flaps is well documented in soft tissue reconstruction
of the head and neck, chest wall, and abdomen. Three cases of omental
transfer for son tissue reconstruction of the lower extremities are pr
esented. In two patients, free vascularized omental flaps were used to
cover deep soft tissue defects over the lower leg and in one patient,
a pedicle flap was used to cover a deep groin defect extending into t
he hip joint. In all patients, use of an omental graft allowed revascu
larization and subsequent wound healing with good cosmetic results.