A Prospective Comparative Study of Needle Aspiration vs Incision and Drainage of Lactational Breast Abscess

Ranjeesh,; Kotha, Swathi

doi:10.21276/ijcmr.2018.5.5.37

IJCMR

2018

DOI: 10.21276/ijcmr.2018.5.5.37

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A Prospective Comparative Study of Needle Aspiration vs Incision and Drainage of Lactational Breast Abscess

Ranjeesh Ranjeesh¹,

Swathi Kotha²

Abstract: Introduction:Peurperal breast abscess is a common problem in lactating mothers causing significant morbidity with the incidence ranging from 0.4 to 11% in Indian subcontinent. Study aimed to compare the outcomes of needle aspiration vs incisional drainage of lactational breast abscess with reference to recurrent abscess, time required for complete healing, pain and scar, to study the most common organism in the breast abscess and to study the sensitivity of the organisms seen in breast abscess.

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Ultrasound-guided percutaneous drainage as an alternative to surgery in treating breast abscesses

Karaca

Topal

Nas

et al. 2019

The European Research Journal

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Objectives:The aim of this study was to assess whether ultrasound-guided (US-guided) percutaneous drainage of breast abscesses could be used as an alternative to surgery. Methods: We performed a retrospective study. Twenty patients were included in the study who were diagnosed as having a non-specific breast abscess. Eleven patients underwent surgery whereas nine patients were treated with US-guided drainage. Ultrasonographic findings, results of treatment and follow-up were evaluated between the two groups. Results: In the US-guided drainage group, 5 patients were treated with needle aspiration and 4 were treated with catheter drainage. All cases within the needle aspiration group totally recovered. However, one case within the catheter drainage group failed. The total success rate of US-guided drainage was 88.8%. The median followup period was 21.0 days in the US-guided drainage group and 45.0 days in the surgical drainage group. There were no statistically significant differences in terms of recovery (p = 0.450) and follow-up periods (p = 0.112) between the surgical drainage and US-guided drainage groups. Conclusions: US-guided percutaneous drainage may be preferred as a first method of choice in treatment of a breast abscess. The most appropriate approach to breast abscess treatment will be possible with a multidisciplinary approach of surgery and radiology.The European Research Journal 2019;5(5):809-815 reast abscesses often develop as a complication of infectious mastitis in young women [1]. Traditional treatment includes surgical drainage and systemic administration of antibiotics. Surgery, which usually requires general anesthesia, leads to scar tissue, also requires the cessation of breast-feeding during treatment and is more expensive. However, ultrasound-guided (US-guided) percutaneous drainage is a feasible, safe, well-tolerated and successful method [2][3][4].In our study, we aimed to show that US-guided drainage of breast abscesses may be an alternative to surgical incision and drainage.

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Ultrasound-guided percutaneous drainage as an alternative to surgery in treating breast abscesses

Karaca

Topal

Nas

et al. 2019

The European Research Journal

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Comparing The Efficacy of Incision and Drainage (I & D) Vs. Ultrasound-Guided Needle Aspiration (UGNA) Methods to Manage Puerperal Breast Abscess

Ali,

Aziz,

Iftikhar

et al. 2024

PJHS

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Puerperal breast abscess poses a significant challenge in clinical care as they refer to painful, inflamed lesions that occur in lactating women stemming from untreated mastitis complications and often require expedited intervention to alleviate pain and avert adverse effects. The management of puerperal breast abscess is a medical dilemma that ranges from non-invasive therapy to surgical intervention. Objective: To compare the efficacy of ultrasound-guided needle aspiration (UGNA) and incision and drainage (I & D) in the management of puerperal breast abscess. Method: A systematic review was performed based on Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Epidemiological studies published from 2013 to 2023 were included from five databases based on the presence of qualitative and quantitative data. Results: UGNA demonstrated efficacy compared to I & D. The observed cure rate of UGNA was 83% to 92% and an acceptable failure rate of 17.5% was associated with more than one aspiration. Conversely, the I & D method was associated with a prolonged healing period, pain, interrupted breastfeeding, more visits to the hospital, regular wound dressing, scarring, and fistula development however, more suitable for larger abscesses. Conclusions: The UGNA method appears to be an effective first-line treatment for managing unilocular puerperal breast abscesses, particularly those smaller than 5 cm, due to its shorter healing time, fewer hospital visits, and better cosmetic outcomes compared to traditional surgical methods. However, future research on large-scale RCTs with extended monitoring is needed

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A Prospective Comparative Study of Needle Aspiration vs Incision and Drainage of Lactational Breast Abscess

Cited by 2 publications

References 9 publications

Ultrasound-guided percutaneous drainage as an alternative to surgery in treating breast abscesses

Ultrasound-guided percutaneous drainage as an alternative to surgery in treating breast abscesses

Comparing The Efficacy of Incision and Drainage (I & D) Vs. Ultrasound-Guided Needle Aspiration (UGNA) Methods to Manage Puerperal Breast Abscess

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