Ultrasound guided aspiration versus incision and drainage in the management of breast abscess
DOI:
https://doi.org/10.18203/2349-2902.isj20241308Keywords:
Abscess, Drainage, Fistula, UltrasoundAbstract
Background: The aim of this study is to compare the results of ultrasound guided aspiration and incision and drainage in the management of breast abscess.
Methods: This is a comparative study of between ultrasound guided aspiration and incision and drainage, consist of 50 patients with breast abscess who underwent both the treatment alternatively in our institution Sri. Siddhartha Institute of Medical Sciences and Research Begur during 2021 to 2023. 7th and 14th day following aspiration, patients should be assessed both clinically and by USG breast. Results were tabulated and analyzed.
Results: 4 patients developed complications following Incision and drainage. 3 milk fistula and wound gaping, 1 recurrence and 3 patients developed complications following USG guided aspiration All 3 cases were recurrence.
Conclusions: USG guided aspiration is simple, painless, day care procedure and effective alternative method of treatment to incision and drainage in properly selected patient and with timely support by sonologist with early postoperative recovery and good patient satisfaction.
Metrics
References
Thomsen AC, Espersen T, Maigaard S. Course and treatment of milk stasis, noninfectious inflammation of the breast, and infectious mastitis in nursing women. Am J Obstet Gynecol. 1984;143(5):492-5.
Karstrup S, Solvig J, Nolsoe CP. Acute puerperal breast abscesses: US guided drainage. Radiology. 1993;188:809.
Dixon JM. Repeated aspiration of breast abscesses in lactating women. BMJ. 1988;297:1517-8.
Dener C, nan A. Breast Abscesses in lactating Women. World J Surg. 2003; 27:130-3.
Watt-Boolsen S, Rasmussen NR, Blichert-Toft M. Primary periareplar abscess in the nonlactating breast: risk of reccurence. Am J Surg. 1987;153(6):571-3.
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(2):161-5.
Dieter U. Breast abscess in lactating women : us-guided treatment. Acta Radiol. 2004;62(1):67-9.
Schwarz RJ, Shrestha R. Needle aspiration of breast abscesses. AMJ Surg. 2001;182:117-9.
Elagili F, Adbullah N, Fong L, Pei T. Aspiration of breast abscess under ultrasound guidance: outcome obtained and factors affecting success. Asian J Surg. 2003;34:132-9.
Christensen AF, Al Suliman N, Nielsen KR, Vegborg I, Severinsen N, Christensen H, et al. Ultrasoundguided drainage of breast abscesses: result in 151 patients. Br J Radiol. 2005:78:186-8.
Alphonce B, Anthony M, Kiguli-Malwadde E, Chalya PL. Ultrasoumd guided needle aspiration versus surgical drainage in the management of breast abscesses: a ugndan experience, 2012 12. Dizon Jm. Breast infection. In: Dixon JM, ed. ABC of breast disease. 3rd ed. Englend: Black-Well; 2006:19-23.
Francisco L. Treatment of breast abscesses with sonographically guided aspiration, irrigation and instillation of antibiotics. Acta Radiol. 2002;52(1):65-9.
O’Hara RJ, Dexter SP, Fox JN. Conservative management of infective mastitis and breast abscesses after ultrasonographic assessment. Br J Surg. 1996;83:1413-4.
Garg P, Rathee SK, Lal A. ultrasonically guided percutaneous drainage of breast abscess. J Indian Med Assoc. 1997;95:584-5.
Downloads
Published
How to Cite
Issue
Section
