Keck Maike, Bergmann Philipp Alexander, Deindl Philipp, Wittig Klaus Stephan, Lohmeyer Jörn Andreas
Agaplesion Diakonie-Klinikum Hamburg gGmbH Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie.
Universitätsklinikum Hamburg-Eppendorf Klinik und Poliklinik für Kinder- und Jugendmedizin.
Handchir Mikrochir Plast Chir. 2020 Apr;52(2):83-87. doi: 10.1055/a-1122-8700. Epub 2020 Apr 7.
In recent decades, the internet has become one of the most important sources of information for patients. How substantial are the possibilities to find out about breast reconstruction on the homepages of university hospitals in Germany? Is there information about plastic surgery with its spectrum of modern reconstructive possibilities?
A total of 35 homepages of university breast centres in Germany was analysed for the indication of cooperation with a plastic surgeon or a department for plastic surgery and their links, with information on reconstructive possibilities such as implant reconstruction, autologous soft tissue reconstruction with pedicled and free flaps as well as lipofilling.
A plastic surgeon or a cooperating department is mentioned on 49 % of the homepages. Of those homepages, 20 % contain a direct link. 91 % of the homepages describe the possibility of breast reconstruction in general, 80 % of the websites the use of autologous tissue. In 51 % of the cases, a free tissue transfer is mentioned, whereas only 23 % describe the procedures like DIEP flap, TMG, or I-GAP in more detail. Only two centres use detailed illustrations. Six websites (17 %) describe reconstruction by pedicled TRAM flap only. Breast reconstruction with a silicone implant is mentioned on 71 % of the websites. The possibility of lipofilling is discussed in 31 %.
About half of the websites of university breast centres do not show any cooperation with a plastic surgeon. There are significant gaps in the information on free tissue transfer for breast reconstruction.
近几十年来，互联网已成为患者最重要的信息来源之一。在德国大学医院的主页上，能找到多少关于乳房重建的信息呢？是否有关于整形外科及其现代重建可能性的信息？
对德国35个大学乳房中心的主页进行了分析，以确定与整形外科医生或整形外科科室的合作迹象及其链接，以及关于重建可能性的信息，如植入物重建、带蒂和游离皮瓣的自体软组织重建以及脂肪填充。
49%的主页提到了整形外科医生或合作科室。在这些主页中，20%包含直接链接。91%的主页总体上描述了乳房重建的可能性，80%的网站介绍了自体组织的使用。在51%的案例中提到了游离组织移植，而只有23%的网站更详细地描述了如腹壁下动脉穿支皮瓣（DIEP flap）、横向股薄肌皮瓣（TMG）或腹股沟下动脉穿支皮瓣（I-GAP）等手术。只有两个中心使用详细的插图。六个网站（17%）仅描述了带蒂腹直肌肌皮瓣（TRAM flap）重建。71%的网站提到了硅胶植入物乳房重建。31%的网站讨论了脂肪填充的可能性。
大约一半的大学乳房中心网站未显示与整形外科医生有任何合作。在乳房重建的游离组织移植信息方面存在显著差距。
