Breast Abscess;

Abstract

Objectives: To compare the recurrence rate between incision drainage andmultiple needle aspiration for breast abscess treatment. Study Design: Randomized ControlledTrial. Setting: Department of General Surgery, Bahawal Victoria Hospital, Bahawalpur. StudyDuration: 29th September 2015 to 29th June 2016. Materials & Methods: A total of 60 femalepatients with breast abscess of <2 cm in size and of duration <2 weeks between 20 to 40 yearsof age were included. Patients with multiple breast abscesses, recurrent breast abscesses andcomplicated abscesses were excluded. The patients were randomized into Group A (incisionand drainage) & Group B (needle aspiration), by using lottery method. Follow up was done forup to 7 days and recurrence was noted. Results: The mean age of patients in group A was30.83 ± 5.67 years and in group B was 31.53 ± 5.73 years. Mean duration of disease was 7.58± 2.83 days. Mean size of abscess was 0.86 ± 0.43 cm. Recurrence was found in 07 (23.33%)patients in group A (incision drainage) while in 21 (70.0%) patients in group B (multiple needleaspiration) with p-value of 0.000 which is statistically significant. Conclusion: The recurrencerate is less after incision & drainage as compared to multiple needle aspirations for treatingbreast abscess.

Ultrasound-Guided Percutaneous Aspiration for the Treatment of Breast Abscess at a Tertiary Care Center in the Developing World

“…Several studies have reported shorter resolution time with needle aspiration compared with I&D and less scar formation, though there was a higher failure rate in the aspiration group compared to open drainage [7,[14][15][16]. Despite the potential need for repeat intervention, patients may prefer minimally invasive percutaneous aspirations due to early resumption of breastfeeding, improved cosmesis, less pain, and no hospitalization [11,[15][16].…”

“…Breast abscesses are a common finding in puerperal women [ 6 ]. This may be due to predisposing factors such as mastitis and the proliferation of glandular tissue in the breast which commonly occurs during lactation [ 7 - 9 ]. A majority of patients in our study had lactation-associated breast abscesses which are consistent with previous reports [ 6 ].…”

“…For breast abscesses showing non-resolution after the first aspiration attempt, repeated US-guided aspirations can be done [ 7 ]. The traditional management of lactational breast abscesses has been I&D in both high and low-income countries [ 10 ].…”

Frequency of Breast Abscess among Lactating Women Presenting to Ambulatory Care of Tertiary care Hospital

“…Breast abscess is thought to occur in 0.4% to 3% of mastitis patients in women 6 . The likelihood of developing a lactational breast abscess increases with maternal age at birth, gestational age >41 weeks, mastitis, primiparity, difficulty breastfeeding in the hospital and cracked nipples 7,8 . An ultrasound scan is used to confirm a clinical diagnosis of lactation breast abscess 9,10 .…”