Article 7121

Title of the article

Features of the surgical treatment of lactational mastitis (literature review) 

Authors

Elena G. Feoktistova, Candidate of medical sciences, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: Eyutkina@bk.ru
Natal'ya N. Mitrofanova, Senior lecturer of the sub-department of microbiology, epidemiology, infectious diseases, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: meidpgumi@yandex.ru
Ekaterina S. Orlova, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: orlova123m@yandex.ru 

Index UDK

617-089 

DOI

10.21685/2072-3032-2021-1-7 

Abstract

Surgical treatment of lactational mastitis is one of the most pressing issues of modern medicine, because some aspects of surgical intervention and effective treatment of postpartum mastitis remain controversial. For example, the use of minimally invasive methods of surgical treatment of various forms of lactational mastitis, the possibility of continuing breastfeeding, effective antibiotic therapy, etc. We analyzed Russian and Foreign literature devoted to key issues of surgical treatment of lactational mastitis. The article presents various points of view devoted to traditional methods of instrumental diagnostics, peculiarities of etiology, pathogenesis, and clinic of lactational mastitis. Separately, the main problems of breastfeeding in lactational mastitis and hardware methods of sanitation of the purulent cavity are considered. Special attention is paid to minimally invasive methods of treatment of postpartum mastitis. 

Key words

surgical treatment, hardware methods, breastfeeding, purulent-septic complications, postpartum mastitis 

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References

1. Vasina A.N. Psikhologicheskie faktory vozniknoveniya poslerodovykh oslozhneniy (na primere mastitov): dis. kand. psikhol. nauk = Psychological factors of the occurrence of postpartum complications (for example, mastitis): dissertation to apply for the degree of the candidate of psychological sciences. Moscow, 2003:393. (In Russ.)
2. Koreyba K.A., Izmaylov A.G. On the etiology of non-lactational purulent mastitis. Kazanskiy meditsinskiy zhurnal = Kazan medical journal. 2003;84(4):299–300. (In Russ.)
3. Averina V.I. Prevention and treatment of cracked nipples in women during lactation. Meditsinskiy sovet = Medical advice. 2014;9:132–137. (In Russ.)
4. Lomovskikh V.E., Tkachenko L.V., Selikhova M.S. Prevention of infectious diseases of the breast in puerperas. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta = Bulletin of Volgograd State Medical University. 2012;3:68–71. (In Russ.)
5. Murashko A.V., Dragun I.E., Konovodova E.N. Lactational mastitis. Lechashchiy vrach = Attending doctor. 2007;4:59–62. (In Russ.)
6. Aylamazyan E.K., Kulakov V.I., Radzinskiy V.E., Savel'eva G.M. ed. Akusherstvo: natsional'noe rukovodstvo = Obstetrics: national guide. Moscow: GEOTAR-Media, 2009:1218. (In Russ.)
7. Gurtovoy B.L., Serov V.N, Makatsariya A.D. Gnoyno-septicheskie zabolevaniya v akusherstve = Purulent-septic diseases in obstetrics. Moscow: Meditsina, 2008:256. (In Russ.)
8. Gurtovoy B.L., Kulakov V.I., Voropaeva S.D. Primenenie antibiotikov v akusherstve i ginekologii = The use of antibiotics in obstetrics and gynecology. Moscow: Triada-Kh, 2004:176. (In Russ.)
9. Dobrokhotova Yu.E. ed. Klinicheskie lektsii po akusherstvu i ginekologii: rukovodstvo = Clinical lectures in obstetrics and gynecology: guide. Moscow: GEOTAR-Media, 2009:312. (In Russ.)
10. Pustotina O.A. Breastfeeding - problems and solutions. Ul'yanovskiy medikobiologicheskiy zhurnal = Ulyanovsk medical and biological journal. 2011;4:131–139. (In Russ.)
11. Pustotina O.A. Experience in the treatment of lactational mastitis in 642 puerperas in Russia. Comparative analysis with international recommendations. Arkhiv akusherstva i ginekologii im. V. F. Snegireva = Archives of obstetrics and gynecology named after V. F. Snegireva. 2015;2:42–47. (In Russ.)
12. Sidorova I.S., Kulakov V.I., Makarov I.O. Rukovodstvo po akusherstvu: ucheb. posobie dlya sistemy poslevuzovskogo prof. obrazovaniya vrachey = Guide to obstetrics: textbook for the system of postgraduate education for doctors. Moscow: Meditsina, 2006:846. (In Russ.)
13. Yakovlev Ya.Ya., Manerov F.K. Lactostasis and lactational mastitis in the practice of a pediatrician. Sibirskoe meditsinskoe obozrenie = Siberian medical review. 2015;2:32–41. (In Russ.)
14. Nikolashina O.P. Lactational mastitis. Byulleten' meditsinskikh Internet-konferentsiy. Obshchestvo s ogranichennoy otvetstvennost'yu «Nauka i innovatsii» = Bulletin of medical Internet conferences. “Science and Innovations” LLC. 2011;1(1):53–53. (In Russ.)
15. Popkov O.V., Ginyuk V.A., Koshevskiy P.P. Bovtyuk N.Ya., Alekseev D.S. Acute lactation mastitis, features of diagnosis and treatment. Khirurgiya Belarusi na sovremennom etape: materialy XVI s"ezda khirurgov Respubliki Belarus' i Respublikanskoy nauchno-prakticheskoy konferentsii «Khirurgiya Belarusi na sovremennom etape» (Grodno, 1–2 noyabrya 2018 g.): v 2 ch. = Surgery in Belarus at the contemporary stage: proceedings of the 16th convention of surgeons of the Republic of Belarus and Republican scientific and practical conference “Surgery in Belarus at the contemporary stage” (Grodno, November 1-2, 2018). Grodno, 2018;1:7–8. (In Russ.)
16. Mastit. Prichiny i vedenie = Mastitis. Causes and management. Zheneva: VOZ, 2000:46. (In Russ.)
17. Chadaev A.P., Zverev A.A. Diagnosis and treatment of acute lactational mastitis. Russkiy meditsinskiy zhurnal = Russian medical journal. 2001;3:117. (In Russ.)
18. Vasilenko V.N., Suleymanov S.M., Pavlenko O.B., Mironova L.P. Morpho-functional characteristics of the mammary gland in cows with subclinical mastitis. Veterinarnaya patologiya = Veterinary pathology. 2014;2:14. (In Russ.)
19. Suleymanov S.M. Physicochemical parameters of milk and morphofunctional characteristics of the mammary gland in ewes with subclinical mastitis. Vestnik Voronezhskogo gosudarstvennogo agrarnogo universiteta = Bulletin of Voronezh State Agrarian University. 2015;4:60–64. (In Russ.)
20. Zakharova I.N., Kuchina A.E., Berezhnaya I.V., Sannikova T.N. Mastitis or lactostasis? How to tell? How to help? How to treat? Meditsinskiy sovet = Medical advice. 2019;11:10–15. (In Russ.)
21. Dem'yanchuk N.R., Lapovets L.E., Zaletskiy M.P., Lapovets N.E. Features of the cytokine spectrum in lactostasis and lactation mastitis. Laboratornaya diagnostika. Vostochnaya Evropa = Laboratory diagnostics. Eastern Europe. 2015;3–4:142–147. (In Russ.)
22. Azer C.H.S. Puerperal mastitis. Infections in Pregnancy: An Evidence-Based Approach. 2019:183.
23. Uzakbaeva B.M., Abdyldaev D.K., Bebezov B.Kh. Possibilities of radiothermometric control in the treatment of multi-cavity acute purulent lactational mastitis. Vestnik Kyrgyzsko-Rossiyskogo slavyanskogo universiteta = Bulletin of Kyrgyz-Russian Slavic University. 2014;14(1):198–201. (In Russ.)
24. Kormlenie grudnykh detey: rukovodstvo dlya materey = Feeding infants: A Guide for Mothers. Kopengagen: VOZ, 1997:53. (In Russ.)
25. Rutenburg D.G., Konychev A.V., Konycheva E.A., Kokorev O.V. Clinical and epidemiological aspects of surgical treatment of lactational mastitis. Zhurnal akusherstva i zhenskikh bolezney = Journal of obstetrics and women’s diseases. 2008;3:55–59. (In Russ.)
26. Lipatov K.V., Komarova E.A, Nasibov B.Sh. Features of the course, diagnosis and surgical treatment of non-lactational mastitis. Khirurgiya. Zhurnal imeni N. I. Pirogova = Surgery. Journal named after N. I. Pirogov. 2016;12:25–30. (In Russ.)
27. Troik E.B., Sherstnov M.Yu. Acute inflammatory diseases of the mammary glands. Topical issues of diagnosis and treatment. Pediatr = Pediatrician. 2011;2(4):99–104. (In Russ.)
28. Kotov I.I., Bubleynik O.A., Kotsovskiy A.M. The technique of combined surgical treatment of purulent lactational mastitis. Vestnik Natsional'nogo medikokhirurgicheskogo tsentra im. N. I. Pirogova = Bulletin of National Medical and Surgical Center named after N. I. Pirogov. 2015;10(2):75–79. (In Russ.)
29. Sergeev V.A., Glukhov A.A. Experience in the application of software sanitation using the AMP-01 device in the complex treatment of purulent lactational mastitis. Vestnik eksperimental'noy i klinicheskoy khirurgii = Bulletin of experimental and clinical surgery. 2015;8(2):214–221. (In Russ.)
30. Abdyldaev D.K., Bebezov B.Kh., Beyshebaev T.K., Uzakbaeva B.M. New approaches to the treatment of purulent lactational mastitis. Vestnik Kyrgyzsko-Rossiyskogo slavyanskogo universiteta = Bulletin of Kyrgyz-Russian Slavic University. 2007;7(9):57. (In Russ.)
31. Kondratenko P.G., Sobolev V.V. Khirurgicheskaya infektsiya: prakticheskoe rukovodstvo = Surgical infection: practical guide. Donetsk, 2007:512. (In Russ.)
32. Chernova N.V. Modern approaches to the diagnosis and treatment of acute purulent lactational mastitis. Ukraїns'kiy zhurnal ekstremal'noї meditsiniі menі G. O. Mozhaєva = Ukrainian journal of extreme medicine named after G. O. Mozhayev. 2012;13(3):98–100.
33. Salakhov E.K., Vlasov A.P. Methods for sanitation of the abdominal cavity with common forms of peritonitis. Sovremennye problemy nauki i obrazovaniya = Modern problems of science and education. 2014;1. Available at: http://scienceeducation. ru/ru/article/view?id=12125 (accessed 24.12.2020). (In Russ.)
34. Ivanusa S.Ya., Risman P.N., Litvinov O.A., Zubarev B.V. Sovremennye printsipy lecheniya gnoynykh ran: ucheb.-metod. posobie = Modern principles of treatment of purulent wounds: study guide. Saint-Petersburg: Onli-Press, 2017:36. (In Russ.)
35. Sazhin A.V., Yurishchev V.A., Popov P.A., Mosin S.V., Mirzoyan A.T. Principles of endovideosurgical sanitation of purulent foci of soft tissues of the gluteal region. Endoskopicheskaya khirurgiya = Endoscopic surgery. 2011;17(3):18–23. (In Russ.)
36. Akhtyamova N.E. New approaches in the treatment of purulent-inflammatory processes of the skin and subcutaneous tissue. RMZh = Breast cancer. 2016;24(8):508–510. (In Russ.)
37. Chernyakov A.V. Modern antiseptics and surgical aspects of their use. RMZh = Russian Medical Journal. 2017;25(28):2059–2062. (In Russ.)
38. Shchukin A.Yu. Apparatnyy sposob etapnykh sanatsiy bryushnoy polosti pri rasprostranennom peritonite (eksperimental'no-klinicheskoe issledovanie): dis. kand. med. nauk = Hardware method of staged sanitation of the abdominal cavity in case of widespread peritonitis (experimental clinical study): dissertation to apply for the degree of the candidate of medical sciences. Nizhniy Novgorod, 2009:126. (In Russ.)
39. Spencer J.P. Management of mastitis in breastfeeding women. Am Fam Physician. 2008;78(6):727–731.
40. Amir L.H. Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol 4: Mastitis, revised March. Breastfeeding Medicine. 2014;9(5):239–243.
41. Cusack L., Brennan M. Lactational mastitis and breast abscess: diagnosis and management in general practice. Australian family physician. 2011;40(12):976.
42. Lam E., Chan T., Wiseman S.M. Breast abscess: evidence based management recommendations. Expert review of antiinfective therapy. 2014;12(7):753–762.
43. Pustotina O.A. Lactational mastitis and lactostasis: tactical contraversions. Zdorov'e zhenshchiny = Woman’s health. 2013;10:76–80. (In Russ.)
44. Petryanik N.N. Lactational mastitis. Conservative treatment issues. Nauchnyy vestnik zdravookhraneniya Kubani = Scientific bulletin of health care of the Kuban. 2015;5:64–89. (In Russ.)
45. Savel'ev B.C., Kirienko A.I. ed. Klinicheskaya khirurgiya: natsional'noe rukovodstvo = Clinical surgery: national guidelines. Moscow: GEOTAR-Media, 2008;1:864. (In Russ.)
46. Kataria K., Srivastava A., Dhar A. Management of lactational mastitis and breast abscesses: review of current knowledge and practice. Indian Journal of Surgery. 2013;75(6):430–435.
47. Boakes E., Woods A., Johnson N., Kadoglou N. Breast infection: a review of diagnosis and management practices. European journal of breast health. 2018;14(3):136.
48. Beyshebaev T.K. Maloinvazivnye metody lecheniya solitarnogo ostrogo gnoynogo laktatsionnogo mastita: avtoref. dis. kand. med. nauk = Minimally invasive methods of treatment of solitary acute purulent lactational mastitis: author’s abstract of dissertation to apply for the degree of the candidate of medical sciences. Bishkek, 2009:20. (In Russ.)
49. Ioffe I.V.,Chernova N.V. The effectiveness of surgical treatment of patients with acute purulent lactational mastitis using a radiofrequency scalpel and ozone ultrasound method. Klіnіchna khіrurgіya = Clinical surgery. 2013;1:65–68. (In Russ.)
50. Klinicheskiy protokol: Laktatsionnyy mastit i laktostaz. Respublikanskiy tsentr razvitiya zdravookhraneniya MZ RK = Clinical protocol: Lactational mastitis and lactostasis. Republican Center for Healthcare Development of the Ministry of Health of the Republic of Kazakhstan. Available at: https://diseases.medelement.com/disease/laktatsionnyymastit- i-laktostaz-2018/16074 (In Russ.)

 

Дата создания: 17.05.2021 10:40
Дата обновления: 17.05.2021 13:21