A comparative study of outcomes in management of breast abscess by ultrasound guided needle aspiration against incision and drainage
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 10
Abstract
Acute inflammation of the breast usually occurs in lactating women and to a lesser extent in non-lactating women. The traditional treatment of breast abscess is by surgical incision and drainage. But now days minimally invasive surgery such as USG guided needle aspiration has been more accepted by patients. Amis and objectives: To compare the outcomes in management of breast abscess by ultrasound guided needle aspiration against incision and drainage Material and method: In the present study 96 patients of breast abscess were divided in two groups. One group was managed by ultrasound guided needle aspiration and contains 35 patients. Second group was managed by incision and drainage and was cottoning 61 patients. A detailed history of all patients was taken and all relevant laboratory investigations were also done. All the patients were followed up regularly to find the cure rate, recurrence rate and healing time required was calculated. Patients satisfaction with the treatment was also recorded. Results: Commonest presentation in both groups was painful breast swelling. Mean abscess diameter in USG aspiration group was 3.4 cm and incision-drainage group was 4.5 cm. Majority of the patients in both the groups has drained less than 60ml form the abscess. Among the USG guided aspiration patients, the cure rate was 88.57% whereas patients managed by incision and drainage procedure with cure rate of 93.44%. The mean healing time in USG guided aspiration group was 2.16 weeks while in incision-drainage group was 3.14 weeks. Satisfaction in patients treated by USG guided aspiration was 88.57% and in incision-drainage group was 54.1%. Conclusion: USG guided aspiration is simple, painless, day care procedure and effective alternative method of treatment to incision and drainage in properly selected patient and with timely support by sinologist.
Authors and Affiliations
Anita Jagdish Kandi, Venkat Arjunrao Gite, Anagha S Varudkar
Keywords
Related Articles
- EP ID EP190230
- DOI -
- Views 79
- Downloads 0
Anthropometric pattern of school going adolescent girls of Latur district
Introduction: The term “adolescence” has been defined as including those aged between 10 -19 years. True adolescence, however, being the period of physical, psychological and social maturing from childhood to adulthood....
ECG changes in patients of acute cerebrovascular diseases
Introduction: Numerous studies have demonstrated the fact that primary neurologic abnormalities may produce ECG changes without any myocardial lesion. ECG changes affecting T wave, U wave, S-T segment, Q-T interval and a...
Predictors of mortality in children presenting with fever and rash
Objective: 1) Clinical profile of children presenting with fever and rash 2) To find mortality predictors of the admitted children with fever and rash. Design: Prospective observational study Setting: Paediatrics PICU an...
Analysis of drug consumption in rural health center of tertiary care teaching hospital, Kancheepuram district, Tamil Nadu
Introduction: With advanced medical care and drugs, consumption of drug cost from budget allocation is high. It has been proved that control measures in monitoring drug consumption have resulted in 20% saving in cost uti...
Post injection site extensive fungal infection: A rare case report and review
Mucormycoses are high-mortality infections feared by clinicians worldwide. They predominantly affect immunocompromised hosts and are associated with a spectrum of disease. We describe a case of deep extensive gluteal muc...