1. Introduction
Breast reconstruction with latissimus dorsi musculocutaneous flap (LDMF) remains a useful option for patients seeking autogenous breast reconstruction.1, 2 and 3 Although the technique is a reliable procedure, some donor site complications have been mentioned. Resultant scar problems, seroma collection and muscular functional impairment are usually observed.2 and 3
Lumbar hernias are rare posterolateral abdominal wall hernias and usually can protrude through the superior or inferior triangle.4, 5 and 6 Lumbar hernia after breast reconstruction with LDMF is a very rarely complication and there are few previous case reports described.9, 10, 11 and 12 In addition, the great part of the cases are related to the superior lumbar triangle and cases concerning the inferior triangle hernia are related to orthopedic surgery when a piece of iliac crest is taken for a graft. Up to now there are few previous report regarding the surgical management of a giant inferior triangle lumbar hernia following delayed LDMF breast reconstruction.11
Thus, the authors described a giant inferior triangle lumbar hernia following a LDMF harvest. The lumbar region anatomy, the hernia diagnosis, the importance of differential diagnosis with seroma and the surgical management are discussed. The case illustrates several points that may be useful for general and plastic surgeons who may encounter this condition.
1. Introduction
Breast reconstruction with latissimus dorsi musculocutaneous flap (LDMF) remains a useful option for patients seeking autogenous breast reconstruction.1, 2 and 3 Although the technique is a reliable procedure, some donor site complications have been mentioned. Resultant scar problems, seroma collection and muscular functional impairment are usually observed.2 and 3
Lumbar hernias are rare posterolateral abdominal wall hernias and usually can protrude through the superior or inferior triangle.4, 5 and 6 Lumbar hernia after breast reconstruction with LDMF is a very rarely complication and there are few previous case reports described.9, 10, 11 and 12 In addition, the great part of the cases are related to the superior lumbar triangle and cases concerning the inferior triangle hernia are related to orthopedic surgery when a piece of iliac crest is taken for a graft. Up to now there are few previous report regarding the surgical management of a giant inferior triangle lumbar hernia following delayed LDMF breast reconstruction.11
Thus, the authors described a giant inferior triangle lumbar hernia following a LDMF harvest. The lumbar region anatomy, the hernia diagnosis, the importance of differential diagnosis with seroma and the surgical management are discussed. The case illustrates several points that may be useful for general and plastic surgeons who may encounter this condition.
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