POSSIBILITIES OF APPLYING PHYSIOTHERAPEUTIC TREATMENT METHODS FOR THE PURPOSE OF PREVENTION OF RESTRICTIONAL DISORDERS OF EXTERNAL RESPIRATORY IN PATIENTS AFTER BREAST ENDOPROSTHETICS

  • O.O. Ismati Samarkand State Medical University. Amir Timur st., 18, Samarkand, Uzbekistan, 140100
  • E.V. Zinoviev Saint Petersburg institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242
  • D.V. Kostyakov Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100 http://orcid.org/0000-0001-5687-7168
  • E.V. Ermilova Saint Petersburg institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242
  • T.Z. Gogokhiya Saint Petersburg institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242
  • V.O. Sidelnikov von Essen Saint Petersburg institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242
  • A.V. Kostyakova Saint Petersburg institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242
  • A.G. Vasilyeva Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
DOI: https://doi.org/10.56871/RBR.2023.30.97.001
Keywords: breast replacement, external respiration disorders, spirometry, botulinum toxin, electrophysiological effects

Abstract

Introduction. Implantation of foreign silicone implants during breast replacement is accompanied by structural and functional changes in the surrounding tissues. Developing chronic inflammation, fibrosis, severe pain and the compression effect of the implant lead to severe restrictive disorders of external respiration functions, reducing the patient’s quality of life in the postoperative period. One of the possible ways to solve this problem is to use an electromagnetic field with a frequency of 448 kHz. Purpose of the study: to evaluate the effectiveness of physiotherapeutic methods of influence as methods for the prevention of restrictive disorders of external respiration in patients after breast replacement. Materials and methods. The study is based on the results of a survey of 89 females who underwent breast replacement with silicone implants. All women were divided into 4 groups, taking into account  the approach to the use of physiotherapy. The study assessed respiratory rate, vital capacity, forced vital capacity, formed expiratory volume in the first second, and peak expiratory volumetric flow rate. Results. It was found that all patients in the early postoperative period had impairment of external respiratory function by an average of 30% of the reference values. The combined use of electrophysiological effects and botulinum toxin made it possible to reduce the frequency of identified respiratory system disorders. By the 7th day of treatment, the frequency of shortness of breath, as well as the magnitude of the deviation from the norm of vital capacity of the lungs, forced vital capacity of the lungs and forced expiratory volume were less, respectively, by 12.3 times, 6.4 times, 8.7 times. 8.1 times compared to control. Conclusion. A set of preventive measures, including electrophysiological therapy, can significantly increase the efficiency of restoration of external respiratory functions in patients after breast replacement in the first week after surgery.

References

Ali A., Picado O., Mathew P.J. et al. Risk Factors for Capsular Contracture in Alloplastic Reconstructive and Augmentation Mammaplasty: Analysis of the National Surgical Quality Improvement Program (NSQIP) Database. Aesthetic plastic surgery. 2022; 1-5: 198–206.

Castillo J.P., Robledo A.M., Torres-Canchala L., Roa-Saldarriaga L. Gigantomastia as a Cause of Pulmonary Hypertension. Archives of Plastic Surgery. 2022; 49(03): 369–72.

Guliyeva G., Cheung J.Y., Avila F.R. et al. Effect of Reduction Mammoplasty on Pulmonary Function Tests: A Systematic Review. Annals of Plastic Surgery. 2021; 87(6): 694–8.

He J., Wang T., Dong J. Classification and management of polyacrylamide gel migration after injection augmentation mammaplasty: a preliminary report. Aesthetic Plastic Surgery. 2020; 44: 1516–21.

Hernández-Bule M.L., Paíno C.L., Trillo M.Á., Úbed A. Electric stimu­lation at 448 kHz promotes proliferation of human mesenchymal stem cells. Cell Physiol. Biochem. 2014; 34(5): 1741–55.

Hong P., Kim S.S., Jeong C. et al. Four-year interim results of the safety of augmentation mammaplasty using the motiva Ergonomix™ round silksurface: a multicenter, retrospective study. Aesthe­tic Plastic Surgery. 2022; 45: 895–903.

Juan A.N., Li Y.U. Advancement of Complications Related to Augmentation Mammoplasty using Silicone Gel Prosthesis. Chinese Journal of Plastic and Reconstructive Surgery. 2020; 2(1): 51–8.

Lupon E., Chaput B., Meresse T. Augmentation mammaplasty by superolateral thoracic flap: a case report. Journal of Medical Case Reports. 2021; 15(1): 1–7.

Nadeem M., Sahu A. Ultrasound guided surgery under Dilutional Local Anaesthesia and no sedation in breast cancer patients. The Surgeon. 2022; 18(2): 91–4.

Paredes V.S., Barcala F.G., Suarez A.J. Pneumonitis caused by silicone gel following breast implant rupture. Irish J Med. Science. 2010; 179(1): 141–5.

Williams D.C., Seifman M.A., Hunter-Smith D.J. Patient related outcome measures for breast augmentation mammoplasty: a syste­matic review. Gland Surgery. 2019; 8(4): 425.

Published
2024-05-01
How to Cite
Ismati, O., Zinoviev, E., Kostyakov, D., Ermilova, E., Gogokhiya, T., Sidelnikov von Essen, V., Kostyakova, A., & Vasilyeva, A. (2024). POSSIBILITIES OF APPLYING PHYSIOTHERAPEUTIC TREATMENT METHODS FOR THE PURPOSE OF PREVENTION OF RESTRICTIONAL DISORDERS OF EXTERNAL RESPIRATORY IN PATIENTS AFTER BREAST ENDOPROSTHETICS. Russian Biomedical Research, 8(4), 4-11. https://doi.org/10.56871/RBR.2023.30.97.001
Issue
Vol 8 No 4 (2023)
Section
Статьи

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