Surgical drainage of lactational breast abscess with ultrasound‐guided Encor vacuum‐assisted breast biopsy system

Chen, Chen; Luo, Libo; Gao, Dan; Qu, Rui; Guo, Yutong; Huo, Jinlong; Su, Yingying

doi:10.1111/tbj.13350

Cited by 13 publications

(16 citation statements)

References 44 publications

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“…If the clinical symptoms were still not relieved, surgical treatment was considered. Surgical methods included Mammotome minimally invasive vacuum-assisted biopsy of the abscess [ 12 ], abscess catheter irrigation and drainage or surgical incision and drainage (Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China

2021

Int Breastfeed J

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Background This study aimed to identify the differences in clinical characteristics, puncture efficacy, antibiotic use, treatment duration, breastfeeding post-illness, and recurrence of patients with breast abscesses caused by methicillin-resistant Staphylococcus aureus (MRSA) or methicillin-susceptible Staphylococcus aureus (MSSA) infection during lactation. Methods The clinical data of patients with breast abscesses during lactation who were treated from January 2014 to February 2017 at Haidian Maternal and Child Health Hospital, Beijing, were reviewed. According to bacterial culture results, they were divided into MRSA (n = 260) and MSSA (n = 962) groups. Hospitalization (whether or not the patients were hospitalized), postpartum period, maternal age, location of abscess cavities, number of abscess cavities, amount of pus, frequency of needle aspiration, failure of needle aspiration, antibiotic use, treatment duration, cessation of breastfeeding and recurrence were compared between the two groups using a t-test and a chi-squared test. Results We noted that only the cessation of breastfeeding was statistically significantly different between the two groups (P = 0.018). Hospitalization, postpartum period, maternal age, location of abscess cavities, number of abscess cavities, amount of pus, number of needle aspiration, failure of needle aspiration, antibiotic use, treatment duration and recurrence showed no statistically significant differences (P = 0.488, P = 0.328, P = 0.494, P = 0.218, P = 0.088, P = 0.102, P = 0.712, P = 0.336, P = 0.512, P = 0.386 and P = 0.359, respectively). Conclusions There was no difference in clinical characteristics between breast abscesses infected by MRSA and those infected by MSSA. Ultrasound-guided needle aspiration could be the first choice for MRSA-infected breast abscess treatment. There is no need to increase antibiotic use because of MRSA infection, unless it is necessary. The reason why more patients with MRSA infected breast abscesses terminated breastfeeding is unclear from this study.

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Section: Methodsmentioning

confidence: 99%

Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China

2021

Int Breastfeed J

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“…For patients with a formed abscess, the indications for surgical intervention have been established (6). Traditionally, the methods commonly used to treat lactational breast abscesses were repeated percutaneous needle aspirations or indwelling catheter drainage (7).…”

Section: Introductionmentioning

confidence: 99%

Clinical research on minimally invasive rotary resection in the treatment of lactational breast abscess

Fu¹,

Zhang²,

Feng³

et al. 2021

Gland Surg

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Background: This study sought to compare the efficacy of minimally invasive rotatory resection plus catheter drainage and puncture abscess aspiration in the treatment of lactational breast abscess Methods: The data of 80 patients with lactational breast abscess at the Department of Mammary Gland, Tianjin Central Hospital of Gynecology Obstetrics, from January 2019 to January 2020 were retrospectively collected. The patients were divided into the minimally invasive group (n=30) and the abscess aspiration group (n=50). Clinical data, including age, parity, preoperative body temperature, postpartum time, time of abscess cavity generation, diameter and position of abscess cavity, intraoperative drainage, bleeding, recovery time, and satisfaction score, were collected and compared between the 2 groups of patients. Results:The baseline data between the 2 groups were not significantly different. The minimally invasive group had a higher single drainage volume and single bleeding volume (P<0.05), and lower cumulative pain score (P<0.05); the cumulative bleeding volume did not differ significantly between the 2 groups (P>0.05). For the abscess cavities with a diameter ≤5 cm, the single drainage volume, single bleeding volume, and single pain score in the minimally invasive group were significantly higher than those in the abscess aspiration group (P<0.05); the total drainage volume was similar between the 2 groups (P>0.05). For the abscess cavities with a diameter >5 cm, the single drainage volume and single bleeding volume in the minimally invasive group were significantly higher than those in the abscess aspiration group (P<0.05), while the cumulative bleeding volume, single pain score, and cumulative pain score were lower in the minimally invasive group (P<0.05). There was no significant difference in total drainage between the 2 groups (P>0.05).Conclusions: When the abscess cavity is ≤5 cm in diameter and the abscess is superficial, puncture and abscess aspiration may be more advantageous than the minimally invasive rotatory resection plus catheter drainage. When the abscess cavity is >5 cm in diameter and there are multiple abscesses or deep large abscess, the efficacy of minimally invasive rotary resection plus catheter drainage may be better than the puncture and abscess aspiration.

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“…According to available data, 0.4% of nursing mothers develop a breast abscess (Amir et al, 2004). Minimally invasive needle aspiration is associated with a high cure rate, with few cases of recurrence and complications (Chen et al, 2019). In recent epidemiological and biological studies, researchers have elaborated on the known benefits of breastfeeding for women and children (Victora et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 54.8% of women with a breast abscess may also discontinue breastfeeding due to diminished milk volume resulting from the abscess (Chen et al, 2019). However, there are no relevant studies about changes in the milk volume among women with breast abscesses.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Efficacy of Comprehensive Management of Breast Abscesses in Restoring Milk Volume

et al. 2021

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Background Approximately 54.8% of patients with breast abscesses discontinue breastfeeding due to the lack of adequate breastfeeding support. Research aims We aimed to (1) examine the difference in milk volume produced by healthy breasts and breasts with abscesses; and (2) to explore the changes in milk volume before and after comprehensive management. Method A prospective, consecutive series study was designed. Lactating patients ( N = 50) with breast abscesses were selected from March 2017 to November 2018. The volume and frequency of milk expression of the affected and the unaffected breast were recorded every 24 hr before and after comprehensive management. The difference in the milk volume produced by healthy breasts (control) and breasts with abscesses, as well as the milk volume produced by each breast before and after comprehensive management, was determined. Results There was a significant difference in the milk volume produced by healthy breasts and breasts with abscess before ( t = 3.016; p = .004) and after ( t = 4.336; p < .001) comprehensive management. The frequency of milk expression was significantly higher after comprehensive management than before it ( z = −6.145; p < .001); the milk volume produced by each side significantly increased after comprehensive management (healthy breasts: t = −4.789; p < .001; breasts with abscess: t = 2.555; p = .014). Conclusion The total milk volume produced by breasts with abscesses can be less than that produced by healthy breasts. The management of abscesses by increasing the frequency of milk expression and degree of emptying can help mothers increase their milk volume.

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Surgical drainage of lactational breast abscess with ultrasound‐guided Encor vacuum‐assisted breast biopsy system

Cited by 13 publications

References 44 publications

Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China

Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China

Clinical research on minimally invasive rotary resection in the treatment of lactational breast abscess

Exploring the Efficacy of Comprehensive Management of Breast Abscesses in Restoring Milk Volume

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