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
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