ABSTRACT
Actinic brachial plexus lesions after mastectomy have been treated in 67 cases. Thirty-nine
cases have been operated on, 31 of which by means of a free microvascular transfer
of the greater omentum. Indications and contraindications of the procedure are discussed,
as well as the types of anatomic-pathologic lesions that have been found, and the
surgical technique that has been modified and improved over time is presented. Results
indicate that free microvascular greater omentum transfer following neurolysis is
currently the best method for relief of pain.