Comparison between aspiration and incision and drainage of breast abscess

Fardhus,; Sharfuzzaman, Amsm; Dewan, Nayeem; Kirttania, Dipak Chandra; Hasan, Ahmed Sami Ai; Rab, Joy Zakharia

doi:10.3329/jss.v22i1.44008

Cited by 3 publications

(21 citation statements)

References 4 publications

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“…Additionally, recent studies favour the use of US guided-NA for abscesses >5 cm in diameter as well. [23][24][25]27 NA with or without US guidance has shown better success rates and cosmetic outcomes, shorter mean healing times and duration of procedures, among abscesses >5 cm in diameter as well. [23][24][25]27 Early restoration of breastfeeding or non-interruption of breastfeeding is significantly better in the NA group compared to I&D groups in all studies.…”

Section: Discussionmentioning

confidence: 99%

“…9 Clinical study by Egbe et al 4 report 6-10 days as the resolution time with NA without US guidance respectively. Fardhus et al 23 also showed that mean healing time was significantly shorter in the NA group (4.27 days) compared to the I&D group (7.60 days).…”

Section: Mean Healing Timementioning

confidence: 91%

“…All the clinical studies measuring the duration of the procedure and hospital stay show a lesser time during NA procedures and, shorter hospital stays in the NA group (Table 1). 1,11,23,32 Cosmetic outcomes…”

Section: Breastfeedingmentioning

confidence: 99%

“…13 Both Fardhus et al and Karvande et al did not find recurrence in the NA group and 3.3% in the I&D group. 1,23 Fistula formation…”

Section: Failure Of the Proceduresmentioning

confidence: 99%

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Percutaneouse ultrasound‐guided needle aspiration for management of breast abscesses – a review

Ghunaim

2023

J of Medical Radiation Sci

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Breast abscesses are still a common cause of morbidity among lactational females. Over the years, there has been an increase in the incidence of non‐lactational breast abscesses and a decrease in lactational breast abscesses. The management could be the use of the conventional method of surgical incision and drainage or the newer techniques of needle aspiration or suction drain or catheter in addition to the administration of antibiotics. The use of needle aspiration as the minimal‐invasive conservative technique is generally recommended for abscesses less than 3–5 cm in diameter. However, recent studies have compared the two methods for abscesses larger than 3 cm and among patients with risk factors for breast abscesses. We aim to present the clinical evidence showing the comparison between needle aspiration and incision and drainage for breast abscesses irrespective of the size of the abscesses. There is a lack of comparative information on the two treatment modalities for breast abscesses larger than 3 cm in diameter; however, needle aspiration is being tried because of its advantages like cosmetic preference, short hospital stay and healing time, and no stoppage of breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Section: Mean Healing Timementioning

confidence: 91%

Section: Breastfeedingmentioning

confidence: 99%

“…13 Both Fardhus et al and Karvande et al did not find recurrence in the NA group and 3.3% in the I&D group. 1,23 Fistula formation…”

Section: Failure Of the Proceduresmentioning

confidence: 99%

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Percutaneouse ultrasound‐guided needle aspiration for management of breast abscesses – a review

Ghunaim

2023

J of Medical Radiation Sci

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“…Breast abscesses can be central or perieolar in location. Acute cases are readily treatable, but the chronic stage requires surgery 4 . There are numerous therapy options available for breast abscesses, with incision drainage being the most common.…”

Section: Introductionmentioning

confidence: 99%

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

Ahmad¹,

Amin²,

Alam³

2023

PJMHS

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Background: The excruciating build-up of pus in breast tissue is known as a breast abscess. This condition is more common in lactating women and is caused by bacterial infection at the nipple zone, which is primarily brought on by biting the child while breastfeeding, poor sanitation, blockage of the milk ducts, and the development of lumps that may be cancerous. Mastitis to abscess development is at different levels of severity for breast abscesses. Breast abscesses can be central or perieolar in location. Acute cases are readily treatable, but surgical intervention is required for chronic cases. Aim: To determine the frequency of breast abscess among lactating women presenting to ambulatory care of tertiary care hospital of Peshawar. Study design: Cross-sectional observational study. Place and duration of study: Department of General Surgery, Hayatabad Medical Complex Peshawar from 1st March 2021 to 1st September 2021. Methodology: Three hundred and thirty four patients of ae groups 15–45 years old, lactating mothers up to 40 days after childbirth, and all women presenting with mastalgia (more than 3 on visual analogue scale) were included. Patients with an alternate infection site identified through clinical examination, those with diabetes (FBS >120mg/dl), those with other immunosuppressive conditions like HIV, and those with a history of steroid use within the previous month were excluded. Results: There were 49(14.7%) cases belong to age group of 19-30 years, while 31(9.3%) belongs to >30 years age (p 0.049). Thirty six (10.8%) of abscess was noted in those who had parity of 1-2 while 44(13.2%) had parity 3-4. The mean BMI of the study sample was 26.6+3.5kg/m2 amongst whom 29(8.7%) frequency of breast abscess was observed in 18.5-24.9 kg/m2, 36(10.8%) had BMI of 25-29.9 kg/m2 and 15(4.5%) had >30kg/m2. The mean postpartum day was 12.1±4.1 day. Fifty four (16.2%) abscess was noted in 6-12 postpartum day, while 26(7.8%) was noted in >12-19 postpartum day. Conclusion: Breast abscess was fairly common (24%) in postpartum women and significantly associated with age of the patient (>30 years). Keywords: Breast abscess, Parity, Lactating women, Post-partum, Body mass index

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A Comparative Analysis of Aspiration and Incision and Drainage Techniques for Breast Abscess Management a Randomized Controlled Trial

Afzaal Baig,

Muhammad Waqid Bin Abdullah,

Zubair Ahmad

et al. 2024

JBKMC

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Objectives: To conduct a comparative analysis of the outcomes associated with needle aspiration and surgical incisionand drainage of breast abscess.Study Design: Randomized controlled trial.Place and duration of study: The present investigation was carried out at the Department of Surgery, ServicesInstitute of Medical Sciences, Lahore, spanning a duration of six months from July 2020 to January 2021.Methods: The research comprised a cohort of 60 female patients, aged 18 to 65 years, who presented with unilateralbreast abscess. These patients were separated into two equal groups, each consisting of 30 individuals. The femaleparticipants in Group-NA had ultrasonic-guided needle aspiration, while the female participants in Group-I&Dunderwent incision and drainage of the breast abscess. The main variables assessed in this study were the duration ofthe surgery and the length of hospitalization for both groups.Results: The age range in this research was 25–58 years old, with a mean±SD of 39.93±13.97 years. GroupNA had an abscess of 7.2±1.71 cm, while Group-I&D had an abscess measuring 6.96±1.56 cm. The study’smajor findings indicate that Group-N A needed considerably less time for the surgery (7.2±1.54 Vs 19.96±2.77minutes, p=0.000) than Group-I&D. Similarly, Group-NA’s mean hospital stay length was considerably shorterthan Group-I&D’s (1.63 ± 1.06 Vs. 3.23 ± 1.38 days, p=0.000).Conclusion: The main benefits of needle aspiration over incision and drainage procedures for female patients withbreast abscesses include shorter operation times and shorter hospital stays.Keywords: Breast abscess, Incision & Drainage, Needle aspiration.

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Comparison between aspiration and incision and drainage of breast abscess

Cited by 3 publications

References 4 publications

Percutaneouse ultrasound‐guided needle aspiration for management of breast abscesses – a review

Percutaneouse ultrasound‐guided needle aspiration for management of breast abscesses – a review

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

A Comparative Analysis of Aspiration and Incision and Drainage Techniques for Breast Abscess Management a Randomized Controlled Trial

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