ANALYSIS OF THE EFFECTIVENESS OF THE COAGULATION METHOD IN ENDOSCOPIC BREAST SURGERY

Rather high percentage of complications after breast surgery motivates surgeons to constantly improve methods and techniques of operations choosing advanced, minimally invasive technologies. A study was conducted to select an effective method of hemostasis in breast surgery.Study design is comparative, prospective (in parallel groups). Study duration was 36 months (January 2015 - March 2018). Material of the study: We have conducted a retrospective analysis of the effectiveness of various methods of coagulation duringendoscopic augmentation mammoplasty in 65 patients. The augmentation mammoplasty was conducted through axillary access using endovideosurgical equipment. Patients were divided into 2 groups depending on the method of coagulation. The follow-up mon-itoring period after the operation was 36 months.As a result of the study, statistically significant differences between various coagulation methods of conducting hemostasis of the wound during operations on a mammary gland were revealed. The most favorable results were established in patients who received the bipolar coagulation method.Conclusion: During breast surgery, the application of bipolar coagulation method by means of endovideosurgical equipment provides adequate hemostasis, simplifies the mobilization of perforating vessels and nerves, thus contributing to better course of the postoperative period, rapid postoperative rehabilitation of patients and reduction of inpatient treatment duration.

операции на молочной железе, аугментационная маммопластика, гемостаз, электрохирургический генератор, аксиллярный доступ, breast surgery, augmentation mammoplasty, hemostasis, electrosurgical generator, axillary access