Laparoscopic mobilisation of the greater omentum for breast reconstruction

Current evidence on the safety and efficacy of laparoscopic mobilisation of the greater omentum for breast reconstruction is based on limited numbers of patients. However, it is a variation of the open technique, the safety and efficacy of which are known. Therefore, the evidence is considered adequate to support the use of this procedure provided that normal arrangements are in place for consent, audit and clinical governance.

During consent, patients should be informed that the volume of omentum may be insufficient for full reconstruction, and that further, more complex procedures may be required.

Patient selection should be carried out in the context of a multidisciplinary team experienced in the management of patients requiring breast reconstruction, and should include a breast cancer specialist and a surgeon experienced in laparoscopic techniques.