Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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СOMPLEX APPROACH IN TREATING COMBINED PATHOLOGY OF MAMMARY GLANDS AND GENITALS

Shatova J.S. 1 Chernikova N.V. 1 Pozdnykova V.V. 1 Kuchkina L.P. 1 Luganskay R.G. 1 Saforiyn N.S. 1 Semiletkin O.M. 1
1 FSBD «RNIOI» Ministry of Health of RF
Of the total number of 1756 patients with mammary gland pathology operated in the Department of Mammary Gland and Reproductive System Surgery of Rostov Science Cancer Institute within the period of 2 years concomitant gynecological pathology was revealed in 1359 (77,4%) patients. 68 of the latter needed surgery. In 56 patients who made the basic group for examining simultaneous operations for combined pathology of mammary glands and genitals were performed. Control group of 60 patients with delayed gynecological surgery was formed retrospectively. According to our results simultaneous operations in patients with combined pathology of mammary glands and genitals proved to be justified and possible in 82,4% of the patients. Relative contraindications for simultaneous operations include severe and moderate general condition of the patient; disintegrating tumors and the patient’s rejection of the surgery. In all other cases they are justified. Such complex approach to surgical treatment allows to avoid reoperations and narcosis in these patients and removing them to other specialized departments, has economic benefits, doesn’t increase the incidence of marked surgical complications and enables to start the postoperative radiotherapy in time. Thus, it improves the results of the treatment, reduces the patient’s hospital stay and the total time of treatment.