A COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY CONVENTIONAL INCISION AND DRAINAGE VERSUS SUCTION DRAINAGE VERSUS ULTRASOUND-GUIDED NEEDLE ASPIRATION

Authors

  • ANKIT CHORMA Department of Surgery, Govt. Medical College, Ratlam, Madhya Pradesh, India.
  • ARUN KUMAR PARGI Department of Surgery, Nandkumar Singh Chauhan, Govt. Medical College, Khandwa, Madhya Pradesh, India.
  • RINKU YADAV Department of Surgery, Nandkumar Singh Chauhan, Govt. Medical College, Khandwa, Madhya Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i11.45696

Keywords:

Breast abscess, Incision and drainage, Suction drainage, USG aspiration

Abstract

Objectives: Breast abscesses are common among lactating women most prevalent in developing countries because of poor hygiene, malnutrition, and health conditions. In era of technical advances management of breast abscess has shifted to minimally invasive and painless techniques which are more patient friendly. This study compare outcomes in management of breast abscess by ultrasound-guided needle aspiration, suction drainage, and incision and drainage procedure.

Methods: The present study was conducted in department of surgery in collaboration of MGM Medical College Indore with Government Medical College, Khandwa. A total 120 patients of breast abscess were divided in three groups. One group was managed by incision and drainage second group by suction drainage and third group by ultrasound-guided needle aspiration (40 patients in each group).

Results: In our study, total 120 patients were analyzed, majority of the cases (40.8%) belong to 21–25 years age group. Post-operative pain, high recurrence rate, fistula formation, cessation of breast feeding, ugly scar formation, and longer duration of hospital stay were observed in incision and drainage procedure.

Conclusions: USG-guided needle aspiration was the safest, cost effective, and widely accepted procedure in the treatment of breast abscess as compared to incision and drainage.

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References

Ioannis H, Nigel JB. Acute Infection of the Breast. Surgery on CD-ROM 1997-2002. United Kingdom: Medicine publishing company Ltd.; 2002.

Kim Y. Effects of a breast-feeding empowerment program on exclusive breast-feeding. J Korean Acad Nurs 2009;39:279-87. doi: 10.4040/ jkan.2009.39.2.279, PMID 19411799

Thomsen AC, Espersen T, Maigaard S. Course and treatment of milk stasis, non-infectious inflammation of the breast, and infectious mastitis in nursing women. Am J Obstet Gynecol 1984;143:492-5.

Haagensen CD. Infections in the breast. In: Haagensen CD, editor. Diseases of Breast. 2nd ed. Philadelphia (PA): W B Saunders; 1971. p. 333.

Watt-Boolsen S, Rasmussen NR, Blichert-Toft M. Primary periareolar abscess in the non-lactating breast risk of recurrence. Am J Surg 1987;153:571-3. doi: 10.1016/0002-9610(87)90158-9

Dener C, Inan A. Breast abscesses in lactating women. World J Surg 2003;27:130-3. doi: 10.1007/s00268-002-6563-6, PMID 12616423

Imperiale A, Zandrino F, Calabrese M, Parodi G, Massa T. Abscesses of the breast: US-guided serial percutaneous aspiration and local antibiotic therapy after unsuccessful systemic antibiotic therapy. Acta Radiol 2001;42:161-5. doi: 10.1080/028418501127346666, PMID 11259943

Tewari M, Shukla HS. An effective method of drainage of puerperal breast abscess by percutaneous placement of suction drain. Indian J Surg 2006;68:330-3.

Strauss A, Middendorf K, Müller-Egloff S, Heer IM, Untch M, Bauerfeind I. Sonographically guided percutaneous needle aspiration of breast abscesses-a minimal invasive alternative to surgical incision. Ultraschall Med 2003;24:393-8. doi: 10.1055/s-2003-45217, PMID 14658082

Kataria K, Srivastava A, Dhar A. Management of lactational mastitis and breast abscesses: Review of current knowledge and practice. Indian J Surg 2013;75:430-5. doi: 10.1007/s12262-012-0776-1, PMID 24465097

Branch-Elliman W, Golen TH, Gold HS, Yassa DS, Baldini LM, Wright SB. Risk factors for Staphylococcus aureus postpartum breast abscess. Clin Infect Dis 2012;54:71-7. doi: 10.1093/cid/cir751, PMID 22052894

Odiya S, Mathur R, Arora S. Comparative study of conventional incision and drainage versus percutaneous placement of suction drain: Changing trend of breast abscess management. Int Surg J 2016;3:1580- 4. doi: 10.18203/2349-2902.isj20162751

Kataria R, Singh S, Ahmad F, Kumar S, Parihar A. A randomized controlled trial comparing repeated ultrasound guided aspiration versus suction catheter drainage in breast abscess. Int Surg J 2019;6:3165-9. doi: 10.18203/2349-2902.isj20193682

Kandi AJ, Gite VA, Varudkar AS. A comparative study of outcomes in management of breast abscess by ultrasound guided needle aspiration against incision and drainage. MedPulse Int Med J 2014;1:655-9.

Wei J, Zhang J, Fu D. Negative suction drain through a mini periareolar incision for the treatment of lactational breast abscess shortens hospital stay and increases breastfeeding rates. Breastfeed Med 2016;11:259-60. doi: 10.1089/bfm.2016.0008, PMID 27249051

Chandika AB, Gakwaya AM, Kiguli-Malwadde E, Chalya PL. Ultrasound guided needle aspiration versus surgical drainage in the management of breast abscesses: A Ugandan experience. BMC Res Notes 2012;5:12. doi: 10.1186/1756-0500-5-12, PMID 22226127

Fahrni M, Schwarz EI, Stadlmann S, Singer G, Hauser N, Kubik- Huch RA. Breast abscesses: Diagnosis, treatment and outcome. Breast Care (Basel) 2012;7:32-8.

Saleem S, et al. Puerperal breast abscesses; Percutaneous ultrasound guided drainage compared with conventional incision and drainage. J Korean Acad Nurs 2008;39:279-87.

Published

07-11-2022

How to Cite

CHORMA, A., A. K. PARGI, and R. YADAV. “A COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY CONVENTIONAL INCISION AND DRAINAGE VERSUS SUCTION DRAINAGE VERSUS ULTRASOUND-GUIDED NEEDLE ASPIRATION”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 11, Nov. 2022, pp. 29-31, doi:10.22159/ajpcr.2022.v15i11.45696.

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Original Article(s)