Postoperative wound manipulation after self-mutilation in borderline personality disorder—a plastic reconstructive challenge
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Tobias von Wild & Frank Siemers & Peter Leonard Stollwerck & Felix Hagen Stang & Peter Mailنnder & Thomas Namdar
- چاپ و سال / کشور: 2011
Description
Borderline personality disorder (BPD) is a mental illness with a prevalence of 1.5% in Western countries. One of the major characteristics of patients with BPD is self-mutilation of any kind. These patients are especially often seen in our clinic since our institution is collaborating with the department of psychiatry that offers supra-regional specialist inpatient hospital treatment of BPD. Types of self-manipulation are various and include slashing and cutting, burning or freezing, bonebreaking, hitting or incorporation of foreign objects. Due to the difficult-to-treat primary disorder, more wound manipulation or self-injury may occur when tensions continue, even after adequate plastic reconstructive surgical treatment and during hospitalization, which represents a challenge for the plastic reconstructive strategy. We describe special problems associated with plasticreconstructive surgery in the light of BPD and self-mutilation and present our algorithm with a series of recommendations for the treatment of such patients as well as three illustrative case reports.
Eur J Plast Surg DOI 10.1007/s00238-011-0548-3 Received: 11 May 2010 / Accepted: 15 January 2011
