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BMC Surgery

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Open Access 01-12-2013 | Case report

Lumbar herniation following extended autologous latissimus dorsi breast reconstruction

Authors: Sheila Margaret Fraser, Hiba Fatayer, Rajgopal Achuthan

Published in: BMC Surgery | Issue 1/2013

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.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2482/13/16/prepub

Title: Lumbar herniation following extended autologous latissimus dorsi breast reconstruction
Authors: Sheila Margaret Fraser
Hiba Fatayer
Rajgopal Achuthan
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2013
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/1471-2482-13-16

At a glance: The STEP trials

Springer Medicine

Lumbar herniation following extended autologous latissimus dorsi breast reconstruction

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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