title: Laparoscopic repair of non-complicated lumbar hernia secondary to a latissimus dorsi flap.
abstract: Lumbar hernia is an unusual complication of the latissimus dorsi flap. Traditionally, it has always been repaired using open-surgery techniques. We present the first description of laparoscopic surgery to treat a non-complicated superior lumbar hernia resulting from the creation of an enlarged latissimus dorsi myocutaneous flap for breast reconstruction following left modified radical mastectomy. The laparoscopic approach substantially reduced the risks associated with open surgery, shortened length of hospital stay and time to recovery and obtained better cosmetic results. Laparoscopic surgery may be considered as a feasible therapeutic option for non-complicated superior lumbar hernias secondary to a latissimus dorsi muscle flap.
  
  
  METHODS
  Therapeutic, V.
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Obregón
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain. Electronic address: mireia.ruizcastilla1@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Ruiz-Castilla
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: M M
authors.initials: MM
authors.lastname: Binimelis
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Guinot
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: V
authors.initials: V
authors.lastname: García
authors.affiliation: Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain.
authors.forename: O
authors.initials: O
authors.lastname: Puig
authors.affiliation: Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: J P
authors.initials: JP
authors.lastname: Barret
mesh_terms: D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008161:Lumbosacral Region / Q000601:surgery; D008875:Middle Aged; D064171:Superficial Back Muscles / Q000637:transplantation; D013524:Surgical Flaps / Q000009:adverse effects*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D060053:Transplant Donor Site / Q000601:surgery*
keywords: Laparoscopic surgery; Latissimus dorsi muscle flap; Lumbar hernia