PATHOGENETIC RATIONALE FOR PHYSIOTHERAPEUTIC METHODS FOR PAIN RELIEF 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 institute of emergency care named after I.I. Dzhanelidze. Budapeshtskaya st. 3, Saint Petersburg, Russian Federation, 192242 https://orcid.org/0000-0001-5687-7168
  • E.E. 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.2024.18.55.001
Keywords: mammary gland augmentation, endoprosthetics, pain syndrome, butolotoxin, electrophysiological effect

Abstract

Introduction. Breast augmentation is the most common aesthetic surgical intervention. However, endoprosthetics using silicone implants is often accompanied by a number of negative consequences in the postoperative period, including severe pain. One of the possible ways to solve this problem is the intramuscular injection of botulinum toxin followed by the use of electromagnetic influence in the field of endoprosthetics. Purpose of the study: to evaluate the effectiveness of the combined use of intramuscular injection of butolotoxin followed by the use of electromagnetic influence in order to reduce the severity of pain in patients after breast augmentation. 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 botulinum toxin type A and an electromagnetic field with a frequency of 448 kHz. During the observation, the intensity of the pain syndrome was assessed intraoperatively, as well as in the early and late postoperative periods. Results of the study. It was found that a course of electrophysiological effects with INDIBA, carried out in the first week after aesthetic endoprosthetics of the mammary glands, significantly increases the effectiveness of the analgesic effect of botulinum toxin. The frequency and severity of mild pain in this subgroup of patients on days 1 and 2 is less by 51.7% (p <0.01) and 41.8% (p <0.01) compared to the results using only botulinum toxin. Statistical calculations revealed a strong connection between the course of use of the electrophysiological effect of INDIBA after the administration of botulinum toxin with the severity of pain on the 1st, 2nd and 7th day of the rehabilitation period after breast replacement (p <0,01). Conclusion. The proposed set of rehabilitation measures after aesthetic endoprosthetics of the mammary glands has a statistically significant, pathogenetically substantiated, pronounced and long-lasting analgesic effect in the postoperative period.

References

Мантурова Н.Е., Карасев В.Е., Исмагилов А.Х. Болевой синдром после оперативного лечения рака молочной железы. Пластическая хирургия и эстетическая медицина. 2022; 4: 35‑40.

Овечкин А.М., Звижулева А.А. Послеоперационное обезболивание в пластической хирургии. Региональная анестезия и лечение острой боли. 2016; 10(2): 82–96.

Одинак М.М., Живолупов С.А., Самарцев И.Н. Болевые синдромы в неврологической практике. Журнал неврологии и психиат­рии. 2009; 9: 80–9.

Щербинина Е.П., Олифриенко К.М., Гордова В.С. Грудные силиконовые имплантаты: к вопросу о послеоперационных осложнениях. Вестник Балтийского федерального университета им. И. Канта. Сер.: Естественные и медицинские науки. 2020; 3: 89–99.

Fujiya H., Ogura Y., Ohno Y. Microcurrent electrical neuromus­cular stimulation facilitates regeneration of injured skeletal muscle in mice. J. Sports Sci. Med. 2015; 2; 297–303.

Gabriel A., Sobota R., Gialich S. The use of Targeted MicroCurrent Therapy in postoperative pain management. Plast. Surg. Nurs. 2013; 33(1): 6–8.

Gerbeshagen H., Aduckath S. Pain intensity on the first day after surgery. Anesthesiology. 2013; 118: 934–44.

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.

Johnson M. Breast implants: history, safety, and imaging. Radiol Technol. 2013; 84: 439–515.

Linderoth G., Kehlet H., Aasvang E.K. Neurophysiological characterization of persistent pain after laparoscopic inguinal hernia repair. Hernia. 2011; 15: 521–9.

Macrae W. Chronic post-surgical pain: 10 years on. Br. J. Anaesth. 2008; 101: 77–86.

Poleshuck E.L., Katz J., Andrus C.H. Risk factors for chronic pain following breast cancer surgery: a prospective study. Pain. 2006; 7: 626–34.

Siggelkow W., Faridi A., Spiritus K. Histological analysis of silicone breast implant capsules and correlation with capsular contracture. Biomaterials. 2003; 24: 1101–9.

Sperling M.L., Hoimyr H., Finnerup K. Persistent pain and sensory changes following cosmetic breast augmentation. Eur. J. Pain. 2011; 15: 328–32.

Werner M.U., Kongsgaard U.E. Defining persistent post-surgical pain: is an update required? BJA J. 2014; 113(1): 1–4.

Published
2024-05-17
How to Cite
Ismati, O., Zinoviev, E., Kostyakov, D., Ermilova, E., Gogokhiya, T., Sidelnikov von Essen, V., Kostyakova, A., & Vasilyeva, A. (2024). PATHOGENETIC RATIONALE FOR PHYSIOTHERAPEUTIC METHODS FOR PAIN RELIEF AFTER BREAST ENDOPROSTHETICS. Russian Biomedical Research, 9(1), 5-12. https://doi.org/10.56871/RBR.2024.18.55.001
Issue
Vol 9 No 1 (2024)
Section
Статьи

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