Comparison of conventional incision and drainage versus ultrasound guided minimally invasive techniques in management of the breast abscess: A prospective cohort study

Shailendra Pal Singh; Anil Kumar; Shakti Kumar Chaudhary; Ranjith Kumaran

doi:10.53730/ijhs.v6nS2.6001

Comparison of conventional incision and drainage versus ultrasound guided minimally invasive techniques in management of the breast abscess

A prospective cohort study

https://doi.org/10.53730/ijhs.v6nS2.6001

Authors

Shailendra Pal Singh MS, FICS Professor & Head, Department of Surgery UPUMS Saifai
Anil Kumar MS, FIAGES, Assistant Professor, Department of Surgery UPUMS Saifai
Shakti Kumar Chaudhary MS, Senior Resident, Department of Surgery UPUMS Saifai
Ranjith Kumaran 3rd year PG, Department of Surgery UPUMS Saifai

Keywords:

breast abscess, usg guided needle aspiration, suction drain, minimally invasive techniques

Abstract

Background: The feasibility of ultrasound guided minimally invasive techniques in management of breast abscess has been a topic of concern from a long time thus, resulting in many studies. Objectives: To assess the feasibility and to compare ultrasound guided minimally invasive techniques with conventional incision and drainage in breast abscess management Materials and Methods: Patients admitted in Surgery Department / OPD with BREAST ABSCESS (total 60 patients) were divided into two random groups of 30 patients each using random number tables. Group 1 was treated by conventional incision and drainage, Group 2 was treated by ultrasound guided minimally invasive techniques. Chi-square test was used. Results: For group 2, the average pain(VAS) score was 4.7 with minimal bleeding during the procedure, no need of dressing, average duration of stay 0.47 days, average days required for complete recovery is 13 days and excellent cosmesis as compared to group 1 where average pain score was 7, mild bleeding occurred in all cases with requiring an average of 10 days of dressing, all healed leaving a scar, average days required for complete recovery is 28 days and thus only satisfactory cosmesis with average 3.1 days of hospital stay.

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References

Martin JG. Breast abscess in lactation. Journal of midwifery and women's health. 2009;54(2):150-1.

Leibman AJ, Misra M, Castaldi M. Breast abscess after nipple piercing: sonographic findings with clinical correlation. Journal of Ultrasound in Medicine. 2011;30(9):1303-8.

Walker AP, Edmiston CE, Krepel CJ, Condon RE. A prospective study of the microflora of nonpuerperal breast abscess. Archives of surgery. 1988;123(7):908-11.

Brook I. Microbiology of non-puerperal breast abscesses. The Journal of infectious diseases. 1988;157(2):377-9.

Kataria K, Srivastava A, Dhar A. Management of lactational mastitis and breast abscesses: Review of current knowledge and practice. Indian Journal of Surgery 2013;75(6):430-5.

Benson EA. Management of breast abscesses. World Journal of Surgery. 1989; 13:753-6.

Webster DJ. Infections of the breast. In: Hughes LE, Mansel RE, Webster DJ, editors. Benign disorders and diseases of the breast. WB saunders: London; 2000. p.190.

Karstrup S, Solvig J, Nolsoe CP, Nilsson P, Khattar S, Loren I, Nilsson A, Court-Payen M. Acute puerperal breast abscesses: US-guided drainage. Radiology. 1993;188(3):807-9.

Hayes R, Michell M, Nunnerley HB. Acute inflammation of the breast—the role of breast ultrasound in diagnosis and management. Clinical Radiology. 1991;44(4):253-6.

Tewari M, Shukla HS. An effective method of drainage of puerperal breast abscess by percutaneous placement of suction drain. Indian J Surg. 2006;68(6):330-3.

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. International Surgery Journal. 2016;3(3):1580-4.

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. Biomed Central Research Notes 2012;5(12): 1-7.

Dabbas N, Chand M, Pallett A, Royle GT, Sainsbury R. Have the Organisms that Cause Breast Abscess Changed With Time?––Implications for Appropriate Antibiotic Usage in Primary and Secondary Care. The breast journal. 2010;16(4):412-5.

Ulitzsch D, Nyman MK, Carlson RA. Breast abscess in lactating women: US-guided treatment. Radiology. 2004;232(3):904-9.

Berna-Serna JD, Madrigal M. Percutaneous management of breast abscesses. An experience of 39 cases. Ultrasound in medicine & biology. 2004;30(1):1-6.

Published

13-04-2022

How to Cite

Singh, S. P., Kumar, A., Chaudhary, S. K., & Kumaran, R. (2022). Comparison of conventional incision and drainage versus ultrasound guided minimally invasive techniques in management of the breast abscess: A prospective cohort study. International Journal of Health Sciences, 6(S2), 4349–4357. https://doi.org/10.53730/ijhs.v6nS2.6001

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Issue

Vol. 6 No. S2 (2022)

Section

Peer Review Articles

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