Format

Send to:

Choose Destination
See comment in PubMed Commons below
BMC Surg. 2013 May 30;13:16. doi: 10.1186/1471-2482-13-16.

Lumbar herniation following extended autologous latissimus dorsi breast reconstruction.

Author information

  • 1Department of Breast & General Surgery, Leeds General Surgery, Great George Street, Leeds LS1 3EX, UK. sheilafraser@doctors.org.uk

Abstract

BACKGROUND:

Reconstructive breast surgery is now recognized to be an important part of the treatment for breast cancer. Surgical reconstruction options consist of implants, autologous tissue transfer or a combination of the two. The latissimus dorsi flap is a pedicled musculocutaneous flap and is an established method of autologous breast reconstruction.Lumbar hernias are an unusual type of hernia, the majority occurring after surgery or trauma in this area. The reported incidence of a lumbar hernia subsequent to a latissimus dorsi reconstruction is very low.

CASE PRESENTATION:

We present the unusual case of lumbar herniation after an extended autologous latissimus dorsi flap for breast reconstruction following a mastectomy. The lumbar hernia was confirmed on CT scanning and the patient underwent an open mesh repair of the hernia through the previous latissimus dorsi scar.

CONCLUSION:

Lumbar hernias are a rare complication that can occur following latissimus dorsi breast reconstruction. It should be considered in all patients presenting with persistent pain or swelling in the lumbar region.

PMID:
23721459
[PubMed - indexed for MEDLINE]
PMCID:
PMC3671191
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Write to the Help Desk