title: [Development of breast surgery including plastic-reconstructive surgery results of the Universitätsfrauenklinik Leipzig].
abstract: The previous retrospective analysis surveys the introduction and development of breast surgery between 1992 and 1996 where a total of 741 procedures have been performed at our department. Recently, these operations represent about 10% of all gynecological procedures including small and extended operations. The total of breast surgical procedures have increased fivefold within the early introduction period of two years. Surgery of the breast was performed because of cancer in 335 cases (45%). Breast preserving procedures such as "wide excision" or segment resection with axillary nodal dissection (level I and II) respectively, have advanced from initially 46% in 1993 to 52% at present. 36% of women undergoing modified radical mastectomy receive an immediate breast reconstruction. So far, severe intraoperative complications were not encountered. The rate of postoperative and early complications needing therapy including cases with reoperation for postoperative haematoma formation (0.6%) or cases with impaired wound healing (3.1%) is assessed to be minor.
authors.affiliation: Universitätsfrauenklinik Leipzig.
authors.forename: U
authors.initials: U
authors.lastname: Köhler
authors.forename: D
authors.initials: D
authors.lastname: Baier
authors.forename: T
authors.initials: T
authors.lastname: Pawlowitsch
authors.forename: A
authors.initials: A
authors.lastname: Margies
mesh_terms: D001365:Axilla; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D015411:Mastectomy, Modified Radical; D015412:Mastectomy, Segmental; D013518:Surgery, Plastic / Q000379:methods*
vernacular_title: Entwicklung der Mammachirurgie einschliesslich plastisch-rekonstruktiver Operationsverfahren an der Universitätsfrauenklinik Leipzig.