Choice of incision in purulent lactation mastitis

The experience with the operative treatment of 500 patients with acute lactation mastitis enabled the authors to elaborate sparing hemioval cuts of the mammary gland for the opening and drainage of abscesses.     

Silver electrophoresis in the treatment of lactation mastitis

The results of treatment of 476 patients with lactation mastitis (infiltrative, with abscess formation, phlegmonous) are discussed. The patients were treated by intra-tissue or intracavitary silver electrophoresis and by the commonly applied methods (control group). Treatment by silver electrophoresis alone and, in cases of an abscess cavity, with addition of drip-flow lavage with silver electrolyte improved the results considerably and reduced the term of in-patient treatment to one half as compared to the control group of patients.     

Combined antibacterial therapy in acute lactation mastitis]

The results of treatment of 129 patients with acute suppurative lactic mastitis are presented. In severe forms of the disease, the use of combined antibiotic therapy+ permits to shorten the duration of in-patient treatment from 13.5 to 10.3 days, prevent the disease recurrence.     

The early cosmetic correction of the breast in the surgical treatment of acute lactation mastitis]

An early cosmetic correction was done in 210 patients as the system of measures, directed on prophylaxis and lowering of the occurrence frequency of the mammary gland cosmetic defect while surgical treatment of an acute lactational mastitis.     

Experience in the treatment of acute purulent lactation mastitis

An analysis of data of 228 patients with different pathomorphological forms of acute purulent lactation mastitis has shown that clinical manifestations of purulent mastitis are due to the pathomorphological form of the inflammation. Complex treatment of acute purulent lactation mastitis including the timely radical operations followed by antibacterial and detoxicating therapy and immunotherapy ensures recovery of the patients and maximal preservation of milk producing tissues. Selection of the magnitude of operation for purulent mastitis is made with regard for their form.     

Roentgenodiagnosis of the suppurative-inflammatory process in acute lactation mastitis

The analysis of roentgen-diagnostics of pyo-inflammatory processes in the mammary glands in 365 patients with acute lactation mastitis has been made. Simple mammography is recommended as a simple and safe method for patients with acute lactation mastitis.     

Protein metabolic disorders in patients with suppurative lactation mastitis

On the basis of studying protein metabolism in 89 patients with suppurative lactation mastitis it was shown that the concentration of total protein in blood serum did not depend on the degree of the clinical course of the disease, the substantial changes in protein fractions being in direct relation to the degree of the clinical severity of the disease.     

Actual problems of the treatment of lactation mastitis

The article describes the experience with the treatment of 886 patients with lactation mastitis. For limited purulent foci preference is given to the dissection or wide opening of the abscess with wound dialysis and putting primary sutures. In patients with mastitis and symptoms of anaerobic damage wide openings (beyond the limits of the tissue involved) with necrectomy and following aeration of the wound are recommended; after complete cleansing the wound secondary sutures are possible or plastic closure of the wound. Complex conservative treatment after operation must be combined with the application of trichopol and its derivatives, oxygentherapy.     

Characteristics of the course of acute lactation mastitis

The experience with treatment of 170 patients with acute puerperal mastitis is summarized. Surgical intervention was performed in 92.4% of patients.     

Liquid-crystal thermography as a diagnostic test in destructive lactation mastitis

An analysis of the employment of liquid crystal thermography in addition to other methods of clinical and laboratory examinations of 109 patients with acute destructive mastitis has shown it to be a simple, safe and informative test for diagnosis of the disease and its complications.     

Immobilized papain in the treatment of acute destructive lactation mastitis

Experience with the surgical treatment of 123 patients has shown the positive effect of proteolytic enzyme Papain immobilized on fiber polymer materials. It shortened the period of purification of purulent wounds of the lactating mammary gland from devitalized tissues which facilitated putting early secondary sutures on the granulating wound without a dissection of wound margins and resulted in quicker healing (13,5 days).