title: [The phenomenon of covert self-mutilation in the surgical routine].
abstract: Factitious disorders are conditions which are unknown to many physicians but have a prevalence of 1-5 % in outpatient departments and hospitals. In order to avoid prolonged and complicated (false) treatment in surgery this article gives a review of the definition, epidemiology and pathogenesis of factitious disorders as well as clinical symptoms and therapy options. A focus is placed on the identification of patients, treatment strategies and the prevention of malpractice. Additionally, clinical features of the disorder are illustrated with the description of some characteristic cases.
authors.affiliation: Abteilung für Plastische Chirurgie und Handchirurgie, Chirurgische Klinik, Diakonieklinikum Stuttgart, 70176, Stuttgart, Deutschland. werdin@diak-stuttgart.de.
authors.forename: F
authors.initials: F
authors.lastname: Werdin
authors.affiliation: Abteilung für Handchirurgie, Mikrochirurgie und rekonstruktive Brustchirurgie, Marienhospital Stuttgart, Stuttgart, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Amr
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Klinikum Stuttgart, Stuttgart, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Eckhardt-Henn
mesh_terms: D003430:Cross-Sectional Studies; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D061345:Early Medical Intervention; D005162:Factitious Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008318:Malpractice; D011613:Psychotherapy; D012652:Self Mutilation / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D013514:Surgical Procedures, Operative
keywords: Definition; Epidemiology; Factitious disorders; Pathogenesis; Prevalence