title: Dermatology - a surgical discipline - as exemplified by surgical procedures at the Hospital of Munich Thalkirchner Strasse.
abstract: BACKGROUND
  Despite the enormous progress in dermatosurgery during the last 35 years,this achievement is not always appropriately acknowledged by other surgical specialties. We outline the significance of dermatosurgery by looking at the development of dermatological operations at the Department of Dermatology,University of Munich/Hospital of Munich Thalkirchner Strasse.
  
  
  METHODS
  Data were collected and analyzed from surgery records, tables and from the SAP ISH-Med.The survey covered the time frame from 1971 to 2006.
  
  
  RESULTS
  There were 101,103 inpatient operations. The number of operations per year increased steadily,especially the number of medium-sized and large operations. A special domain of dermatosurgery is the sentinel lymph node biopsy in patients with malignant melanoma. In the last years, there was a continuous increase of patients in whom more than one tumor had to be excised. The percentage of patients undergoing dermatosurgery was constant at 46% of all inpatients.
  
  
  CONCLUSIONS
  The surgical therapy of skin tumors is the most important part of inpatient treatment of dermatology patients. The development of dermatosurgery shows that due to the increase of skin tumors and the opening of new fields of activity (for example the removal of sentinel lymph nodes) there is a growing demand for dermatological surgeons. Solid training and competent representation in dermatology and attention to our interactions with other surgical specialties will help guarantee optimal patient care in the future.
authors.affiliation: Department of Dermatology and Allergy, Ludwig Maximilian University Munich, Germany. christian.kunte@med.uni-muenchen.de
authors.forename: Christian
authors.initials: C
authors.lastname: Kunte
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Pfützner
authors.forename: Karin
authors.initials: K
authors.lastname: Kerschenlohr
authors.forename: Birger
authors.initials: B
authors.lastname: Konz
mesh_terms: D000152:Acne Vulgaris / Q000453:epidemiology / Q000601:surgery*; D002280:Basal Cell Carcinoma / Q000453:epidemiology / Q000601:surgery*; D003430:Cross-Sectional Studies; D003479:Curriculum / Q000639:trends; D003880:Dermatology / Q000193:education / Q000706:statistics & numerical data / Q000639:trends*; D004503:Education, Medical, Graduate / Q000639:trends; D005544:Forecasting; D013502:General Surgery / Q000193:education* / Q000706:statistics & numerical data / Q000639:trends*; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D008545:Melanoma / Q000453:epidemiology / Q000601:surgery*; D015580:Mohs Surgery / Q000193:education; D021701:Sentinel Lymph Node Biopsy / Q000193:education / Q000706:statistics & numerical data; D012878:Skin Neoplasms / Q000453:epidemiology / Q000601:surgery*; D013038:Specialization / Q000706:statistics & numerical data / Q000639:trends*; D014600:Utilization Review