Experience of Rehabilitation Program Using a Device Amp-01 in Treatment of Suppurative Lactation Mastitis

Abstract


Relevance The treatment of suppurative lactation mastitis remains urgent surgical problem. Despite significant advances of modern medicine in the treatment and prevention of surgical infections, mastitis is one of the first places in the structure of postpartum purulent-inflammatory complications, making towards them to 26-67% of cases. Until recently, it remained the most common traditional method of surgery at a mastitis, comprising the wide opening purulent focus one or more radial slits without a radical excision of nonviable tissue. Application of active surgical treatment purulent diseases has improved the results of treatment in this complex surgical pathology. However, its implementation in practical surgery is complicated because absence or imperfection of special technical means for active drainage, which leads to poor-quality sanitation purulent cavity and lengthens treatment time.
The purpose of the study Analysis of immediate and long-term results treatment of suppurative lactation mastitis using a device AMP-01.
Results and their discussion The use of active surgical method for the treatment of patients with GLM (main group, the comparison group 2) have led to a significant reduction in the duration of treatment and get good functional and cosmetic results compared to the comparison group 1 (the traditional method). A comparative study of treatment results in the study group research using the method of rehabilitation program using the device AMP-01 in the comparison group 2 with flow-suction method there are some differences. The use of primary suture in combination with active aspiration of wound and in the creation of a permanent purulent cavity vacuum of 80-100 mm of water. Art. It provides better sanitation of purulent focus and leads to the blocking of its walls and speed up recovery. Therefore, the results of treatment in the study group were slightly better for all the assessment criteria immediate and long-term results compared with a comparison group 2.
Conclusion Application of the rehabilitation program using the device AMP-01 in treatment patients with GLM allows significantly accelerate clearance of the wounds from necrotic tissues, microbial bodies, stimulates regeneration processes, all of which helps to reduce the treatment durstion and getting good immediate and long-term clinical results. Method rehabilitation program using the device AMP-01 had advantages over other methods of active surgical treatment for all the assessment criteria of immediate and late treatment results.

Orel Regional Hospital, 10/7 Pobedy Blvd., Orel, 302028, Russian Federation

Author for correspondence.
Email: sergeevdoc60@yandex.ru
Ph.D, surgeon coloproctological department BUZ Orel region "Orel Regional Hospital."

N.N. Burdenko Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: surgery-v@yandex.ru
M.D, Prof., Head. Department of General Surgery, Director of Institute of surgical infection N.N. Burdenko Voronezh State Medical University

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