A comparative study of conventional incision and drainage versus incision and drainage with primary closure of the wound in acute abscesses

Kale, Aniruddha; Athavale, Virendra S; Deshpande, Nitin; Nirhale, Dakshayni; Calcuttawala, Murtuza; Bhatia, Mohit

doi:10.4103/0975-2870.144864

Cited by 2 publications

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“…In present study no recurrence is seen in the experiment group and there was one case of recurrence out of 25 cases (4%) in control group. Similar findings were observed in study by Anirrudha K where recurrence was three times more in cases of conventional incision and drainage as compared to primary closure [5] . Similar findings were observed in the study by Khanna et al [9] .…”

Section: Discussionsupporting

confidence: 89%

“…This proposed method, termed as primary suction closure is supported by many authors who demonstrated its usefulness in the management of breast abscess. Advantages of closure technique are quick healing rate, less hospital stay, no greater recurrence than the conventional method, better scar formation and finally reduced cost of material and may be recommended as an alternative treatment that is superior to the conventional technique [5] . The present study was taken up to compare the outcomes between conventional incision and drainage and primary suction closure.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of postoperative outcomes following primary suction closure for breast abscess

Euvalingam¹,

Prabakar²

2020

Int. J. Surg. Sci.

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Background: Breast abscess is a common inflammatory condition among lactating women. Although initial stages of breast abscess can be managed through antibiotics, surgery may be required in the presence of advanced stages in the form of incision and drainage with or without placement of surgical drain. This study was carried out to evaluate the outcomes between open and closed incision and drainage. Methods: This randomized control trial was carried out among 60 cases clinically diagnosed breast abscess. The participants were randomly allocated to experiment group (30 patients) consisting of closed primary suction closure and control group (30 patients) open incision and drainage. Postoperative outcomes in terms of recurrence, pain, secondary infection and duration of hospital stay were recorded. Results: Postoperative pain was present among six participants in the experimental group as compared to 18 participants in the control group, none of the participants in the experimental group experienced residual abscess, scar formation or secondary infections. Moreover, the mean duration of hospital stay among experimental group was 9.1 days as against 11.6 days in the control group. Conclusion:Considering the potent clinical, surgical and financial advantages associated with closed primary suction closure, this method may be routinely used for effective management of acute breast abscess, especially in lactating women.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Evaluation of postoperative outcomes following primary suction closure for breast abscess

Euvalingam¹,

Prabakar²

2020

Int. J. Surg. Sci.

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“…5 The mean hospital stay in primary closure group was The other studies also reported the decrease in healing time after primary closures. 10,13,14,15 The healing by primary intention in primarily closed wounds is faster than healing by secondary intention in open wounds. The mean number of post-operative hospital visits was 2.84±1.9 days in primary closure group and 8.72±4.98 days in open group.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of primary closure following incision and drainage of lactational breast abscess over traditional open method

et al. 2021

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Background: The incidence of breast abscess ranges from 0.4 to 11% of all lactating mothers. Although breast abscess is a serious common complication of mastitis with high morbidity rate, there is a lack of high-quality randomized trial to demonstrate the best treatments.Methods: The Study was conducted in the Department of Surgery of Universal medical college and hospital, Dhaka, Bangladesh and MH Samorita hospital and medical college. It was a randomized controlled trial to see the efficacy of primary closure following incision and drainage of lactational breast abscess over traditional open method. Total 120 population were randomly selected in group A (60 patients) and group B (60 patients) and data was collected with their signed ethical consent. The study was conducted from January 2014 to December 2019. Collected data were classified, edited, coded and entered into the computer for statistical analysis by using Statistical package for social sciences (SPSS) version 22.Results: In patients of group A, most breast abscesses healed successfully with a nicer circumareolar scar, earlier healing, lesser number of hospital visits and lower total cost as compared to patients in group B. There was early resumption of breastfeeding and better patient satisfaction seen in group A.Conclusions: Primary closure of lactational breast abscess following incision and drainage is an effective modality of treatment of lactational breast abscess and it should be the first line of treatment, especially for larger and multilocular breast abscesses while traditional incision and drainage should be reserved for abscesses with gangrenous skin changes, where primary closure is not justified.

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A comparative study of conventional incision and drainage versus incision and drainage with primary closure of the wound in acute abscesses

Cited by 2 publications

References 0 publications

Evaluation of postoperative outcomes following primary suction closure for breast abscess

Evaluation of postoperative outcomes following primary suction closure for breast abscess

The efficacy of primary closure following incision and drainage of lactational breast abscess over traditional open method

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