Management of lactational breast abscesses

Eryılmaz, Ramazan; Şahi̇n, Mustafa; Tekelioğlu, Meltem; Daldal, Emin

doi:10.1016/j.breast.2004.12.001

Cited by 106 publications

(140 citation statements)

References 18 publications

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“…This is in agreement with Eryilmaz et al and Chandika et al reported a similar incidence of breast abscess over left side and abscess in the upper and outer quadrant. 16,17 In our study finding of peripherally located abscess more than centrally locating was consistent with the results of Hamid et al 18 In this study all the patients in both groups presented with pain as a general feature. The mean duration of pain in our study was 6.3 days.…”

Section: Discussionsupporting

confidence: 92%

“…Wound healing was significantly faster in the aspirated group than in the incised group (4.3 days versus 7.7 days), this finding was similar to the study done by Eryilmaz et al 16 In the present study the cosmetic outcome was evaluated according to patient's satisfaction and scar mark. Patients underwent with aspiration, were satisfied with the cosmetic outcome, as there were no scars present after the treatment as similar to the studies of Singh et al and Kastrup et al 19,24 …”

Section: Comparison Of Mean Healing Time Between the Groupssupporting

confidence: 91%

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Comparison between aspiration and incision and drainage of breast abscess

et al. 2016

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INTRODUCTIONBreast abscess is one of the commonest form of abscess surgical emergencies usually seen in lactating woman. 1,2 The frequency of occurrence is highly related to pregnancy and mainly caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast.3,4 Immediate diagnosis and treatment is necessary if breast feeding is to be continued and for the prevention of further complications. 5Treatment of breast abscesses is a difficult clinical problem. 6 At an early stage, acute mastitis may be treated ABSTRACTBackground: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Non-lactational breast abscesses are entirely different from those occurring during breast feeding. They occur in the peri-areolar tissues, frequently recur, and infecting organisms are mixture of anaerobes. The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess.Methods: This is a comparative study carried out in department of general surgery in a tertiary health care center, LTMMH and GH, Mumbai for a period of 2 years (May 2012 -May 2014) after taking approval from institutional ethics committee. 60 female patients of age between 18-65 years and diagnosed breast abscess with abscess size of less than 10 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 30 had undergone aspiration of the breast abscess (group A) and 30 had undergone incision and drainage of the breast abscess (group B). Results:The mean age of the female patients in the study were 18-42 years. 90% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 34 patients (57.7%). Out of that 20 were in the aspirated group (66.7%). 14 patients were in the incised group (46.7%). The mean healing time and cosmetic outcome was significantly (p = 0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group. Conclusions: Breast abscess in patients with diameter of less than 7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

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Section: Discussionsupporting

confidence: 92%

Section: Comparison Of Mean Healing Time Between the Groupssupporting

confidence: 91%

Comparison between aspiration and incision and drainage of breast abscess

et al. 2016

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“…4 So the time duration required for healing in present study was comparable with the other studies of literature. 10 The overall cure rate of breast abscess in group A was 92% (one failure and one recurrence) and was 100% in case of Group B. The overall cure rate was also comparable with the other studies available in literature as shown below.…”

Section: Discussionsupporting

confidence: 85%

“…8 Another study by Erylmiz concluded that puerperal abscesses smaller than five cm can be successfully treated with aspiration in most of the cases. 10 In present study, patients in group A underwent ultrasound guided percutaneous aspiration of breast abscess. Out of 25 patients of breast abscess, 12 patients (48%) had shown resolution of the abscess on single aspiration, while 11 (44%) patients required two aspirations.…”

Section: Discussionmentioning

confidence: 94%

Surgery without knife: an ideal treatment for lactational breast abscess

et al. 2017

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INTRODUCTIONBreast abscess is common in lactating females. The incidence of breast abscess ranges from 0.4 to 11% of all lactating mothers.1 Risk factors for the development of breast abscess are milk stasis by duct blockage, stress, sore nipples or infrequent breastfeeding. Other risk factors for abscess formation include maternal age over 30 years, gestational age greater than 41 weeks and a history of mastitis. The pathogen most commonly Staphylococcus aureus enter into breast via cracked nipple specially in primipara due to inexperience, poor feeding technique and poor attachment by baby.2 Breast abscess is common in developing countries due to poor maternal hygiene, decreased nutrition, poor standard of living, delay in antibiotics administration and poor breastfeeding techniques. Patient having breast abscess presents with symptoms of pain, swelling and redness of the involved breast. There may be associated fever, malaise and occasionally rigors.Traditional treatment of breast abscesses is by surgical incision and drainage which is followed by digital disruption of septa, evacuation of contents with occasional placement of surgical drains.Recently ultrasound guided aspiration has been tried for treatment of breast abscesses where a thick needle, preferably 16G, is inserted into the abscess cavity and contents are aspirated until the cavity is collapsed. Breast abscess being a common problem needs further evaluation for its definitive treatment.To go for conventional yet definitive form that is incision and drainage or to go for ultrasound guided aspiration is the question which still needs answering. ABSTRACTBackground: Incidence of breast abscess is 0.4 to 11% of all lactating mothers. Traditionally the treatment of breast abscess has been incision and drainage. Recently aspiration under ultrasound guidance is emerging as another treatment option and rapidly replace incision and drainage Methods: Authors carried out a prospective, randomized study involving 50 lactating women with breast abscess. In group A -25 patients were managed by ultrasound guided needle aspiration and in group B -25 patients were managed by incision and drainage. Results: In patients of group A, most breast abscesses resolved with one or two aspirations only, with early healing and lesser number of hospital visits as compared to patients in group B. There was no surgical scar and early resumption of breastfeeding was seen in group A. Conclusions: Ultrasound guided percutaneous aspiration is an effective modality of treatment of lactational breast abscess and it should be the first line of treatment, especially for smaller and unilocular breast abscesses while incision and drainage should be reserved for larger and multilocular abscesses with imminent skin changes.

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“…It usually occurs as a complication of trauma or pyogenic mastitis during lactation (2). S.aureus is the most commonly isolated organism in breast abscess during lactating period (3).…”

Section: Introductionmentioning

confidence: 99%

Bilateral Breast Abscess Caused by E.coli in a Non-lactating Woman: A Rare Case

et al. 2014

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Breast abscess usually occurs during lactation and the responsible organism is often S.Aureus. Breast abscess in non-lactating women is extremely rare and limited data is available in the literature regarding this entity. In our study, a 36-year-old non-lactating female patient who developed bilateral breast abscess due to E.coli infection without any predisposing factors has been discussed in light of the literature.

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Management of lactational breast abscesses

Cited by 106 publications

References 18 publications

Comparison between aspiration and incision and drainage of breast abscess

Comparison between aspiration and incision and drainage of breast abscess

Surgery without knife: an ideal treatment for lactational breast abscess

Bilateral Breast Abscess Caused by E.coli in a Non-lactating Woman: A Rare Case

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