{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T07:48:16Z","timestamp":1792741696283,"version":"4.5.0"},"reference-count":81,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Dank der Verfeinerung der Operationstechniken ist die autologe\n                    Brustrekonstruktion inzwischen Teil der Standardversorgung geworden. Die\n                    Beratung der Patientinnen ist aufgrund der Erweiterung der onkologischen\n                    M\u00f6glichkeiten zur Mastektomie, Brusterhalt und Strahlentherapie und der\n                    Vielzahl der rekonstruktiven Techniken schwieriger geworden. Ziel der\n                    Rekonstruktion ist es, tumorzellfreie Resektionsr\u00e4nder und ein\n                    langfristig \u00e4sthetisch zufriedenstellendes Ergebnis mit hoher\n                    Lebensqualit\u00e4t f\u00fcr die Patientin zu erreichen. Bei der\n                    sofortigen Rekonstruktion erm\u00f6glicht die hautsparende oder sogar\n                    mamillensparende Mastektomie den Erhalt der Brusthaut und ihrer\n                    nat\u00fcrlichen Form, welches das mit der Mastektomie verbundene\n                    psychologische Trauma deutlich verringert. Jedoch weisen sekund\u00e4re\n                    Rekonstruktionen oft eine h\u00f6here Zufriedenheit auf, da hier seitens der\n                    Patientinnen nach erlebter Formver\u00e4nderung keine Restitutio ad integrum\n                    angenommen wird. Dieser Artikel gibt einen \u00dcberblick \u00fcber die\n                    aktuellen M\u00f6glichkeiten der Brustrekonstruktion und eine Betrachtung der\n                    Patientinnen-Zufriedenheit und Lebensqualit\u00e4t nach einer\n                    Brustrekonstruktion. Obwohl die meisten Patientinnen und Chirurg*innen\n                    nach wie vor die sofortige Rekonstruktion bevorzugen, scheint eine\n                    Verz\u00f6gerung der Rekonstruktion die klinischen oder von den Patientinnen\n                    berichteten Ergebnisse nicht zu beeintr\u00e4chtigen. Zu den neuesten\n                    Verfeinerungen der chirurgischen Techniken und der autologen Brustrekonstruktion\n                    geh\u00f6ren \u201estacked-flaps\u201c, sowie mikrochirurgische\n                    Nervenkoaptation zur Wiederherstellung der Sensibilit\u00e4t, welche zu einer\n                    Verbesserung des Ergebnisses und der Lebensqualit\u00e4t f\u00fchren.\n                    Heterologe, d.\u2009h. Implantat basierte, Brustrekonstruktion und autologe\n                    Brustrekonstruktion sind mittlerweile komplement\u00e4re Techniken. Neue\n                    Techniken wie die hautsparende und mamillensparende Mastektomie, begleitet von\n                    verbesserter Implantatqualit\u00e4t, erm\u00f6glichen heutzutage eine\n                    risikoarme sofortige prothetische Brustrekonstruktion mit pr\u00e4pektoraler\n                    Implantatlage. Die Wahl der Brustrekonstruktion ist abh\u00e4ngig von der Art\n                    der Mastektomie, etwaiger Bestrahlung, individuellen Risikofaktoren, dem Habitus\n                    und den W\u00fcnschen der Patientin. Insgesamt f\u00fchren die neuerlichen\n                    Entwicklungen in der Brustrekonstruktion zu einer Erh\u00f6hung der\n                    Patientinnen-Zufriedenheit, Lebensqualit\u00e4t, des \u00e4sthetischen\n                    Ergebnisses unter onkologischer Sicherheit.<\/jats:p>","DOI":"10.1055\/a-2082-1542","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T22:49:15Z","timestamp":1690238955000},"page":"253-261","source":"Crossref","is-referenced-by-count":3,"title":["Update und Trends bei der plastisch-chirurgischen Brustrekonstruktion\n                    nach Mastektomie"],"prefix":"10.1055","volume":"55","author":[{"given":"Paul","family":"Supper","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenz","family":"Semmler","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Placheta-Gy\u00f6ri","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryana","family":"Teufelsbauer","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elissa","family":"Harik-Chraim","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Radtke","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Plastische, Rekonstruktive und\n                    \u00c4sthetische Chirurgie, Medizinische Universit\u00e4t\n                    Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality\n                    Worldwide for 36 Cancers in 185 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