RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0045-1810434
Lumbar Hernia Post Latissimus Dorsi Myocutaneous Flap Reconstruction for Breast
Autoren
Abstract
We report a case of lumbar hernia in a patient with carcinoma in right breast who underwent mastectomy and reconstruction with a latissimus dorsi myocutaneous flap. Although rare, the diagnosis of lumbar hernia should be kept in mind in cases where latissimus dorsi myocutaneous flap is done to differentiate it from seroma (where aspiration is a form of management) and avoid potential complications such as bowel perforation. Treatment options are individualized, and can range from fascia closure, mesh reinforcement to minimally invasive laparoscopic and endoscopic techniques.
Ethical Approval
As this is a case report and standard management procedures were followed, ethical approval was not required.
Patients' Consent
General patient consent was obtained. No identifiable patient information has been included
Publikationsverlauf
Artikel online veröffentlicht:
29. Oktober 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Moon HK, Dowden RV. Lumbar hernia after latissimus dorsi flap. Plast Reconstr Surg 1985; 75 (03) 417-419
- 2 Hafner CD, Wylie Jr JH, Brush BE. Petit's lumbar hernia: repair with Marlex mesh. Arch Surg 1963; 86 (02) 180-186
- 3 Bhatt CR, Prajapati B, Patil DS, Patel VD, Singh BGP, Mehta CD. Variation in the insertion of the latissimus dorsi & its clinical importance. J Orthop 2013; 10 (01) 25-28
- 4 Pachani AB, Reza A, Jadhav RV, Mathews S. A primary idiopathic superior lumbar triangle hernia with congenital right scoliosis: a rare clinical presentation and management. Int J Appl Basic Med Res 2011; 1 (01) 60-62
- 5 Fraser SM, Fatayer H, Achuthan R. Lumbar herniation following extended autologous latissimus dorsi breast reconstruction. BMC Surg 2013; 13 (01) 16
- 6 Mickel TJ, Barton Jr FE, Rohrich RJ, Daniel LB, Conner WC. Management and prevention of lumbar herniation following a latissimus dorsi flap. Plast Reconstr Surg 1999; 103 (05) 1473-1475
- 7 Moreno-Egea A, Baena EG, Calle MC, Martínez JA, Albasini JL. Controversies in the current management of Lumbar hernias. Arch Surg 2007; 142 (01) 82-88
- 8 Sharma A, Panse R, Khullar R, Soni V, Baijal M, Chowbey PK. Laparoscopic transabdominal extraperitoneal repair of lumbar hernia. J Minim Access Surg 2005; 1 (02) 70-73
- 9 Obregón L, Ruiz-Castilla M, Binimelis MM. et al. Laparoscopic repair of non-complicated lumbar hernia secondary to a latissimus dorsi flap. J Plast Reconstr Aesthet Surg 2014; 67 (03) 407-410