TO COMPARE THE EFFECTIVENESS OF CONVENTIONAL INCISION AND DRAINAGE VERSES USG GUIDED PERCUTANEOUS NEEDLE ASPIRATION IN TREATMENT OF BREAST ABSCESS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 17
Abstract
BACKGROUND Breast abscess can occur as a complication of mastitis. The conventional treatment of breast abscess has been incision and drainage. Minimally invasive surgery is the current trend. Conventional Incision and drainage of breast abscess leads to more pain, delayed wound healing and prolonged cessation of breast feeding. As the condition occurs in young women, scar is a major concern. This study attempts to evaluate a newer method (USG guided percutaneous needle aspiration) and compare it with the conventional method i.e. incision and drainage who presented to Basaveshwara Teaching and General Hospital, Kalaburagi. METHODS This is a non-randomized controlled trial. The main source of data for the study are patients admitted to Basaveshwara Teaching and General Hospital, Kalaburagi, attached to Mahadevappa Rampure Medical College, Kalaburagi, with primary diagnosis of lactational breast abscess less than 5 cms. Study period is from January 2016 to June 2017. 100 cases were included in the study and were divided into group A and group B based on the size of abscess. Sample size was taken for convenience during the study. RESULTS Average age in our study was 24.5 yrs. Most common mode of presentation is pain and lump (69). Most of the patients presented within 2 weeks (92%). 95% were unilateral cases, 5% were bilateral cases. In group A, 22% had mild and annoying pain, group B 48% patients didn’t have any pain, 2% suffered from mild and annoying pain. Group A- 26 patients were hospitalized for more than 5 days. Group B- 40 patients were treated on OPD basis. Breastfeeding interruption in 100% cases of incision and drainage; no breastfeeding interruption in group B. complication were residual abscess, incomplete wound healing and scar formation. CONCLUSIONS ‘Incision and dependent drainage’ has been the gold standard technique in the treatment of breast abscess for years; but now the latest trend is ‘USG guided percutaneous needle aspiration’ which involves less postoperative pain, no cessation of breast function, results in no scar, is cosmetically beneficial and needs less hospital stay. USG guided percutaneous needle aspiration is better than incision and drainage.
Authors and Affiliations
Shanta B. Patil, Vajreshwari M. Vagger
Keywords
Related Articles
- EP ID EP613382
- DOI 10.14260/jemds/2019/302
- Views 76
- Downloads 0
ADHERENCE TO TREATMENT AMONG TYPE 2 DIABETES PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN AGARTALA CITY- A CROSS-SECTIONAL STUDY
BACKGROUND Poor adherence or non-adherence is a great problem in the control of diabetes mellitus type 2. Despite the advances in the treatment of diabetes mellitus type 2 over the years, diabetes remains as a burden on...
VISUAL OUTCOME IN SCLERAL FIXATED INTRAOCULAR LENSES
OBJECTIVE To find out visual outcome after sclera fixated intraocular lens implantation. METHODS 25 patients from 2012 to 2014 who were referred after complicated cataract surgery or had traumatic aphakia leadin...
MICROALBUMINURIA IN NON-PROTEINURIC DIABETIC PATIENTS AND ITS CORRELATION WITH DIABETIC RETINOPATHY AND NEUROPATHY- A CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL
BACKGROUND Diabetes is a stage of persistent hyperglycaemia due to absolute or relative deficiency of insulin. Microalbuminuria is often the first sign of renal dysfunction in diabetes. Microalbuminuria is defined as the...
A PHENOMENOLOGICAL STUDY OF PREMENSTRUAL SYMPTOMS IN MEDICAL AND NURSING STUDENTS
BACKGROUND Premenstrual symptoms are particularly common in reproductive age groups and therefore represents a significant public health problem in young girls. This study aims to estimate the prevalence, severity, deter...
DIAGNOSTIC UTILITY OF ADENOSINE DEAMINASE ACTIVITY IN TUBERCULAR PLEURAL EFFUSION
[b] INTRODUCTION[/b]: Tuberculosis is a most common cause of exudative pleural effusion in India which usually occurs as a complication of primary pulmonary tuberculosis. Adenosine deaminase (ADA) is an enzyme w...