DIAGNOSTIC AND TREATMENT TECHNICS IN PATIENTS WITH SCARS DEFECT AFTER SURGICAL TREATMENT OF BREAST NON-ONCOLOGICAL DISEASES

Nowadays there do not exist the only right way of treating and preventive method of the scars defect of the breasts. All of them are not ideal and any of them cannot guarantee 100% of effectiveness. Aim. Detection of effectiveness of proposed treating and preventive methods in patients with defect scars (DS) of the breasts without usage of expensive examinations to minimize the relapse risk of new DS recurrence. Materials and methods. In this study, there were involved 138 patients with DS of the breasts after their surgical treatment. Control group – women who got only surgical treatment the DS on mammal glands. Two study groups: Group №1 – micro invasive DS treatment – solution of diprospane together with 2% lidocaine was injected directly into the scar with silicone plaster usage of over it afterwards and compressing bandage or special compressing clothes. Group №2 – surgical excision of DS and injection of diprospane together with 2% lidocaine under fresh scar area with usage of silicone plaster over it afterwards and compressing bandage or special compressing clothes. Examinations was made with the help of ultrasound diagnostics before and after procedures. Due to Dopler scanning there was estimated the rate of blood supply of the scars. There was estimated the intensity of blood supply of different scar areas compared to normal skin. Results. Results of long lasted (12 months) observations are the following: effectiveness of treating and prevention methods in groups №1 and №2 - where during 6 months periodically, if needed, the corrections of the scars were present – was equal to 100%. In any of these groups on the time of 12 months after treatment has begun, there was no relapse of DS. In control group where only surgery was used in DS treatment, the non recurrence patients rate was 51.1%. Conclusion. The complex of treating and preventive methods influence on the process blocking, which launches the DS forming. To rise the effectiveness of DS treatment there should be taken into consideration the patient`s individual anamnesis data and according to this the adequate preventive tactics should be used to prevent the new DS relapse.