Features of the state of mammary glands are after hysterectomy

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 a basic certificate for implementation of hysterectomy. All patients with a uterine fibroids depending on age parted on 2 clinical groups. a 1 group was 67 patients which was added hysterectomy in late reproductive age (36–44 years, on the average in 40,9±0,9 year); to 2 groups entered 89 patients which are operated in premenopause (45–47 years, on the average in 45,9±0,2 year). A control group was made 20 practically healthy women of analogical age. To the complex of the conducted researches clinical, laboratory instrumental and statistical methods were included. Results. Among patients which was added hysterectomy without the appendages of uterus concerning a uterine fibroids in premenopause, growth of frequency of benigh diseases of mammary glands was 19,6%: from 74,2% to 93,8% supervisions. In the structure of diseases the double increase of frequency is marked diffuse nodular forms fibro-cystic mastopathy, and also forming of nodular form fibro-cystic mastopathy in 8,3% supervisions. With the same frequency after hysterectomy there were the 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 surgical treatment of uterine fibroids for patients which are operated in premenopause, appeared for certain higher (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 were remote 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 is established from 57,1% supervisions to 7,1%. The displays of diffuse are mildly expressed fibro-cystшс mastopathy was saved only in 1 (7,1%) to the patient. Conclusions. Patients with uterine fibroids which the conduct of hysterectomy is foreseen with the maintainance of appendages of uterus are included in the group of enhanceable risk in relation to 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 treatment-and-prophylactic measures.