Features of the state of mammary glands are after hysterectomy

Abstract

DOI: 10.52705/2788-6190-2025-01.2-05
УДК 618.18-039:618.14-089.85-089.168.1

The objective: to learn the features of the state of mammary glands after hysterectomy.

Materials and methods. By us it was inspected 156 patients by a uterine fibroids, which is abasic certificate for implementation of hysterectomy. All patients with a uterine fibroids dependingon age parted on 2 clinical groups. a 1 group was 67 patients which was added hysterectomyin late reproductive age (36–44 years, on the average in 40,9±0,9 year); to 2 groups entered 89patients which are operated in premenopause (45–47 years, on the average in 45,9±0,2 year). Acontrol group was made 20 practically healthy women of analogical age.To the complex of the conducted researches clinical, laboratory instrumental and statisticalmethods were included.

Results. Among patients which was added hysterectomy without the appendages of uterus concerninga uterine fibroids in premenopause, growth of frequency of benigh diseases of mammary glandswas 19,6%: from 74,2% to 93,8% supervisions. In the structure of diseases the double increase offrequency is marked diffuse nodular forms fibro-cystic mastopathy, and also forming of nodular formfibro-cystic mastopathy in 8,3% supervisions. With the same frequency after hysterectomy there werethe diagnosed fibroadenomas of mammary glands relapse of colitary cysts of mammary glands.Frequency of exposure of nodular and local forms of disease of mammary glands after surgicaltreatment of uterine fibroids for patients which are operated in premenopause, appeared for certainhigher (р < 0,05) than for patients, citizens of hysterectomy in late reproductive age.Among 14 patients which are operated in premenopause, which during hysterectomy there wereremote appendages of uterus, prevailing of fibroadipose involution is marked in mammary glands.At this category of patients the decline of frequency of benigh diseases of mammary glands isestablished from 57,1% supervisions to 7,1%. The displays of diffuse are mildly expressed fibrocystшс mastopathy was saved only in 1 (7,1%) to the patient.

Conclusions. Patients with uterine fibroids which the conduct of hysterectomy is foreseen withthe maintainance of appendages of uterus are included in the group of enhanceable risk in relationto an origin and progress of diseases of mammary glands in a postoperative period.Findings need to be taken into account at development of algorithm of diagnostic and treatmentand-prophylactic measures.