Drainage Of Breast Abscess Research Articles

A COMPARATIVE STUDY OF THE OUTCOME OF DRAINAGE OF BREAST ABSCESS BY USG GUIDED NEEDLE ASPIRATION/RE-ASPIRATION VS CONVENTIONAL INCISION AND DRAINAGE.

Background: Breast abscess is a major cause of morbidity in developing countries, most commonly in lactating women and dened as a localised collection of pus within the breast. The aim of this study is to compare the effectiveness and outcome of USG guided needle aspiration versus incision and drainage of breast abscess. The study involved 100 female patients Material and Methods: of age 18-60 years and diagnosed with breast abscess (clinically and by ultrasonography) were included after taking written consent. Of these 50 had undergone USG guided aspiration (Group A) and 50 had undergone incision and drainage (Group B) of breast abscess. The most a Results: ffected age range were 21-30 years and 90% of the cases were lactating and S. aureus was most encountered organism in both lactating and nonlactating cases of breast abscess. The cure rate, mean healing time, lactation resumption, patient's satisfaction and cosmetic outcome were statistically signicant (p <0.05) in patients managed with USG guided aspiration compared to incision and drainage. USG guided Conclusion: needle aspiration is a minimal invasive procedure and better alternative in management of breast abscess than conventional incision and drainage

A comparative study between USG guided aspiration and incision and drainage of breast abscess

Introduction: Breast abscess is a major cause of morbidity in developing countries especially among lactating mothers. It is the most common benign breast problem in pregnancy and puerperium. The aim of this study is to evaluate the efficacy of USG guided aspiration and compare its outcomes with the traditional incision and drainage.Materials and Methods: The study involved 60 consenting female patients with a diagnosis of breast abscess who were divided randomly into two groups of aspiration and incision and drainage.Results: USG guided aspiration is a minimally invasive technique for the management of breast abscess and has better outcomes in terms of post operative complications, hospital stay and healing time and resumption of lactation. It is the preferred modality in the management of breast abscess.

Comparison between aspiration and incision and drainage of breast abscess

Background: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple cracking by a child during breast feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Objective: The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess.
 Methods: This is a comparative study carried out in department of general surgery, SherE- Bangla Medical College Hospital, Barisal between January 2014 and December 2014. 50 female patients of age between 20-40 years and diagnosed breast abscess with abscess size of 5'7 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 25 had undergone aspiration of the breast abscess (group A) and 25 had undergone incision and drainage (group B).
 Results: The mean age of the female patients in group A was 23.42 years and in Group B was 23.31. 91% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 27 patients (54%). Out of that were in the aspirated group 17patients (56.67%). 10 patients were in the incised group (33.33%). The mean healing time and cosmetic outcome was significantly (p =0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group.
 Conclusion: Breast abscess in patients with diameter of 5'7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.
 Journal of Surgical Sciences (2018) Vol. 22 (1): 11-15

The use of PICO negative pressure wound therapy system for a patient following incision and drainage of breast abscess: A case study that shows the cost benefit of the PICO system for this patient and a Breast Care Nurse Specialists perspective

The use of PICO negative pressure wound therapy system for a patient following incision and drainage of breast abscess: A case study that shows the cost benefit of the PICO system for this patient and a Breast Care Nurse Specialists perspective

Breast Abscess Management and the Role of Post Incisional Antibiotics

Introduction : Breast abscess is a common condition affecting women in the developing world, and is commonly treated with incision and drainage. Incision and drainage is associated with a long hospital stay, requires general anesthesia and daily wound care which is associated with a higher pain score and interrupts breastfeeding for puerperal cases. It is also associated with poor cosmetic results and often necessitates a return to theatre for wound closure.. The aim of the study was to describe the presentation and management of patients presenting with breast abscess at the Aga Khan University Hospital, Nairobi. Methods : We conducted a 7-year retrospective audit of all patients managed for breast abscesses at The Aga Khan University Hospital, Nairobi. Demographic data, clinical presentation, diagnosis, management and follow up were summarized. We later conducted a practice audit on the use of antibiotics for breast abscess among the delegates of a surgical conference. Results : A total of 75 patients were analyzed. Just over half (50.7%) had puerperal abscesses. The demographics, presentation and natural history do not differ between puerperal and non-puerperal abscesses. Nearly all patients (99%) underwent incision and drainage. Fifty two percent affected left breast, 45% right and 3% were bilateral. Majority of respondents of the survey used antibiotics after incision and drainage. Conclusion : There is high rate of antibiotic use which is not backed by literature both at the institution and across the country. More needs to be done to assess if there is benefit of antibiotics after incision and drainage of breast abscesses. Tertiary level hospitals should popularize ultrasound guided aspiration for treatment of breast abscess as it may be non inferior to incision and drainage Keywords : Breast Abscess, Image Guided Drainage, Incision and Drainage, Antibiotics

Comparison between aspiration and incision and drainage of breast abscess

Background: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Non-lactational breast abscesses are entirely different from those occurring during breast feeding. They occur in the peri-areolar tissues, frequently recur, and infecting organisms are mixture of anaerobes. The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess. Methods: This is a comparative study carried out in department of general surgery in a tertiary health care center, LTMMH and GH, Mumbai for a period of 2 years (May 2012 - May 2014) after taking approval from institutional ethics committee. 60 female patients of age between 18-65 years and diagnosed breast abscess with abscess size of less than 10 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 30 had undergone aspiration of the breast abscess (group A) and 30 had undergone incision and drainage of the breast abscess (group B). Results: The mean age of the female patients in the study were 18-42 years. 90% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 34 patients (57.7%). Out of that 20 were in the aspirated group (66.7%). 14 patients were in the incised group (46.7%). The mean healing time and cosmetic outcome was significantly (p = 0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group. Conclusions: Breast abscess in patients with diameter of less than 7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

Rate of malignancies in breast abscesses and argument for ultrasound drainage

Background Biopsy of a breast abscess wall has been performed for years without evidence. Aspiration of breast abscesses has been increasing in popularity without widespread acceptance. Methods A 10-year retrospective review of 206 surgical biopsies after incision and drainage of breast abscesses. A literature review of breast abscess treated with ultrasound-guided aspiration. Results Over 10 years, 4.37% (9/206) patients were diagnosed with malignancy in the abscess cavity wall tissue. None of the 197 patients with a negative biopsy returned with breast cancer. Single, multiple, and combined aspiration success rates of 79.8% (364/458), 11.0% (50/458), and 90.9% (482/532) with surgical intervention necessary in 9.1% (50/532). Ultrasound versus hand guidance (92.5% versus 81.9 %, P < .01) improved success rate. Conclusions The rate of associated malignancies with breast abscess is very low and does not warrant mandatory surgical drainage. The use of ultrasound-directed aspiration of breast abscesses is effective and should be first-line therapy.

Ultrasound guided breast abscess drainage

Ultrasound guided breast abscess drainage

Percutaneous Catheter Drainage of Breast Abscesses under Sonographic Guidance

Percutaneous Catheter Drainage of Breast Abscesses under Sonographic Guidance

Breast cancer arising in surgical scars.

Twelve women who developed breast cancer at the site of old surgical scars in the breast are presented. Six had had former breast biopsies, 3 drainage of breast abscesses, and 3 developed breast cancer in old thoracotomy scars transversing the breast. The combination of trauma as an oncogen and scar tissue as a functional and immunological locus minoris resistentia seems to play a major role in the development of breast cancer in this group of patients. The associaton of breast cancer, scar, and trauma would not be coincidental. Increased attention drawn to this entity may lead to a rise in the number of cases diagnosed among patients with breast scars after biopsies, abscesses, trauma, or foreign body implantation.