Treatment Of Breast Abscess Research Articles

Clinical study of ultrasound-guided minimally invasive catheterization combined with compound cortex phellodendri fluid in the treatment of lactational breast abscess.

To retrospectively analyze the clinical practicability and value of ultrasound-guided minimally invasive catheterization combined with compound Phellodendron Phellodendri liquid in the treatment of breast abscess during lactation. 139 patients with lactational breast abscess discharged from our hospital from January 2021 to November 2023 were selected. We divided them into groups according to treatment methods, analyzed whether there were statistical differences in observation indexes among groups and the risk factors affecting breastfeeding rate and treatment satisfaction. We found that numerical rating scale(NRS) score and incidence of breast fistula in group A were significantly lower than other, the continuous decrease of postoperative drainage in group A was higher than other, there were significant differences among groups (p<0.001). Univariate analysis showed that recovery time, drainage tube placement time, postoperative redness and swelling regression time, scar length, and VAS score of six groups were statistically significant (p<0.001). We found that the overall satisfaction and the rate of continued breastfeeding in group A (96.2%) were higher than other, the differences were statistically significant(p<0.05). Logistic regression analysis revealed that the significant risk factors influencing treatment satisfaction included the time of drainage tube placement, postoperative redness and swelling regression time, treatment group, surgical method, NRS score on the first day after operation, postoperative drainage volume, healing time, scar length, flushing drugs, and VAS score. Postoperative redness and swelling regression time, treatment group, operation method and VAS score are all risk factors that influence the outcome of breastfeeding. Ultrasound-guided minimally invasive catheterization combined with compound cortex phellodendri fluid in the treatment of breast abscess during lactation can not only reduce the pain caused by dressing change, but also offer numerous advantages, including shorter healing time, beautiful appearance, lower incidence of breast fistula, high satisfaction and high rate of continued breastfeeding.

A Randomized Controlled Trial Comparing Ultrasonography-Guided Needle Aspiration and Surgical Drainage for the Management of Breast Abscess.

Background A breast abscess is a localized collection of inflammatory exudate in breast tissue. It is more common in lactating women. Treatment of the breast abscess is usually by incision and drainage, which is accompanied by extensive trauma, lengthy surgical incisions, psychological distress, surgical scar, and discomfort during dressing changes. Recent research has shown that ultrasonography-guided needle aspiration is an alternative to incision and drainage for breast abscess treatment, has superior cosmetic outcomes, and has fewer costs. However, there are no clear guidelines for the same. The primary objective of this study was to assess and contrast the outcomes and efficacy of two approaches in the treatment of breast abscesses: ultrasonography-guided needle aspiration and conventional incision and drainage. Methods This was a single-center, prospective, randomized, controlled, non-inferiority trial. Patients with breast abscesses were randomized either to receive needle aspiration or incision drainage. Patients with lactational breast abscesses were encouraged to breastfeed from either breast. The antibiotic was given for 10 days to all the patients. The study's main focus was on the primary outcome, which was the failure rate. Additionally, several secondary outcomes were examined, including postoperative pain, time required for healing, presence of residual abscess or recurrence, formation of fistulas, and the assessment of scar appearance. Results A total of 44 patients were randomized to 23 and 21 in each arm. There was no statistical difference in treatment failure (p-value=0.862), fistula formation (p-value=1.00), and recurrence (p-value=1.00). There was a significant statistical difference in healing period (p-value <0.001), scar formation (p-value <0.0001), continuation of breastfeeding (p-value=0.005), and clinical resolution (p-value=0.002). There was a significant reduction in post-intervention pain in the needle aspiration group than in the other group (p-value <0.001). Conclusion This study showed a significant difference in postoperative pain, healing time, the continuation of breastfeeding, and scar formation in the needle aspiration group, favouring minimally invasive treatment for breast abscess. However, due to the small sample size, we could not conclude that ultrasonography-guided needle aspiration of the breast abscess is non-inferior to the conventional incision and drainage.

Comparison of ultrasound guided aspiration versus incision drainage in breast abscess

Objective: is to compare the outcomes of ultrasound guided needle aspiration technique with traditional incision and drainage technique in breast abscess.&#x0D; Methodology: Study was randomized controlled trial conducted at general surgery department of Nishtar Hospital; Multan from 9th may 2023 to 8th November 2023 in 6 months’ duration. A total of 228 patients were enrolled in study and divided into two groups A and B. Group A include 143 patients aspirated with ultrasound guided needle aspiration and in group B 85 patients treated with incision and drainage method. Main outcomes were hospital stay, pain intensity, location and size of abscess, parity and demographics.&#x0D; Results: The mean duration of pain in Group A and Group B was 5.79±2.18 days and 7.01±2.38 days, respectively, (p&lt;0.001). Further, the mean duration of fever, volume of pus, size of USG was almost equal in both the groups, (p&gt;0.050). The distribution of site of abscess of both the groups were shown in figure. I. The difference was statistically significant, (p&lt;0.001).&#x0D; Conclusion: Needle aspiration of a breast abscess with ultrasonographic guidance combined with antibiotics is a commonly used and effective approach in the treatment of breast abscesses. This method is especially valuable when dealing with abscesses of small size.

The effectiveness of needle aspiration versus traditional incision and drainage in the treatment of breast abscess: a meta-analysis

Background Breast abscess is a common and intractable clinical condition and the use of needle aspiration (NA) or incision and drainage (ID) in treatment is controversial. This meta-analysis aimed to systematically compare the clinical effectiveness of NA and ID in treating breast abscesses. Methods The Web of Science, ScienceDirect, PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure, and Wanfang Data were searched for randomized controlled trials (RCTs) published from inception to January 7, 2022. The ROB-2 tool assessed risk of bias; the GRADE methodology rated certainty in outcomes; and Stata 16.0 performed data analyses. Results Nine RCTs were included, including 703 patients. The results showed there was no significant difference in cure rate between the two groups (relative risk [RR] = 0.96, 95% confidence interval [CI] [0.86, 1.07]; p = .469), and after subgroup analysis, we found that it was not related to the use of ultrasound guidance or not. There was no significant difference in the recurrence rate (RR = 0.68, 95% CI [0.35, 1.30]; p = .241). Furthermore, the NA group was associated with shorter healing time (weighted mean differences = −11.02, 95% CI [−15.14, −6.90]; p < .001), lower incidence of breast fistula (RR = 0.21, 95% CI [0.06, 0.72]; p = .013), lower interrupted breastfeeding rate (RR = 0.28, 95% CI [0.20, 0.39]; p < .001), and higher satisfaction rate of appearance (RR = 1.51, 95% CI [1.03–2.21]; p = .035). Conclusion NA has better advantages in terms of healing time, avoidance of breast fistula, continuous breastfeeding, and patient satisfaction. Although NA and ID have similar cure and recurrence rates, NA, with or without ultrasound guidance, could be used as a first-line treatment for breast abscesses. Patients with large volumes, multicompartmental abscesses, or those who have been ineffective against multiple NA, should be considered for ID. KEY MESSAGES Breast abscess is a common and intractable clinical condition in general surgery. Compared with ID for breast abscesses, NA has better advantages in terms of healing time, avoidance of breast fistula, continuous breastfeeding, and patient satisfaction and could be used as a first-line treatment for breast abscesses. Patients with large volumes, multicompartmental abscesses, or those who have been ineffective against multiple NA, should be considered for ID.

Drainage Followed by Primary Closure with Suction Drain Versus Drainage Only in the Treatment of Breast Abscess

Background: Breast abscess is a common inflammatory condition among young lactating women. Although initial stages of breast abscess can be managed with antibiotics, surgery may be required in advanced stages in the form of incision and drainage with or without placement of a surgical drain. There are various methods for the treatment of breast abscesses. Objectives: To compare the outcome of drainage followed by primary closure with suction drain and drainage only in the treatment of breast asbscess. Methods: A total of 74 diagnosed cases of lactational breast abscess who underwent surgery were included in this prospective observational study. The patients were divided into two groups, 37 patients who underwent primary closure with suction drain were considered as group- A and the rest 37 patients who underwent drainage only were considered as group-B. Diagnosed cases of lactational breast abscess who underwent drainage of the abscess by either of the two above-mentioned methods were enrolled in this study. Statistical analyses of the results were obtained by using windows-based computer software Statistical Packages for Social Sciences (SPSS-22). Results: The mean age was 24.16±4.02 years in group-A and 23.27±3.63 years in group-B. More than half (54.1%) patients were primipara in group-A and 24(64.9 %) in group-B. More than half (56.8%) patients had S. aureus in pus culture in group-A and 28(75.7%) in group-B. The differences were statistically not significant (p&gt;0.05) between the twogroups. The mean healing time was 8.95±1.51days in group-A and 25.76±4.23 days in group-B. The mean duration of hospital stay was 5.14±1.03 days in group-A and 26.05±4.03 days in group-B. The mean time required to resume of breastfeeding was 4.57±1.04 days in group-A and 25.73±4.2 days in group-B. The mean score of postoperative pain (visual analog scale) was 1.35±0.48 in group-A and 3.76±0.6 in group-B. The mean requirement of analgesia was 5.24±1.28 days in group-A and 13.95±2.75 days in group-B. More than half (51.4%) patients had better scar quality in group-A and 26(70.3%) had good scar quality in group-B. The differences were statistically significant (p&lt;0.05) between the two groups. Conclusion: Primary closure with suction drain results better outcome than conventional incision &amp; drainage in the treatment of breast abscess.

Ultrasound-Guided Drainage of Breast Abscess

Objective: To assess the efficacy of ultrasound-guided drainage of breast abscesses with special attention to the risk of recurrence and the need for surgical treatment, to avoid postoperative morbidity, to reduce the hospital stay and cost of treatment, to determine the need for termination of breast feeding. Methods: 100 patients with breast were selected conveniently among those who were admitted in Dinajpur Medical College hospital or visited to surgery OPD with breast abscess. They were evaluated by short history, clinical examination and ultrasonogram. After counseling and taking consent they were treated with ultrasound-guided drainage, by needle or pigtail catheter under local anaesthesia. Follow-up punctures were performed at 2 or 3 day intervals until the clinical condition and ultrasound findings had improved. All patients were treated with oral antibiotics. Mammography was performed to search for underlying cancer. Results: Among the 100 cases included in the study, ninety-seven 97% patients with puerperal abscesses and 81% with non-puerperal abscesses recovered after the first round of ultrasound-guided drainage. One patient in each group had recurrence in loco but recovered after further ultrasound-guided drainage. Seven patients, 6 with non-puerperal and 01 with puerperal abscesses, underwent surgical excision of the abscess cavity or fistulas. Breastfeeding continued and 23 patients were treated as outpatients. The median number of follow up examinations in the ultrasound-department was four (range 1–10) for the group of patients with puerperal abscess and three (range 1–7) in the group of patients with non- puerperal abscess. The corresponding figure for the median number of punctures was for both groups one (range 1–6 and 1–4). There were no reports of newly diagnosed breast cancer in the 1-year follow-up period. Conclusion: Treatment of breast abscess with US-guided Percutaneous aspiration or Pigtail catheter drainage both in puerperal and .......

A COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY CONVENTIONAL INCISION AND DRAINAGE VERSUS SUCTION DRAINAGE VERSUS ULTRASOUND-GUIDED NEEDLE ASPIRATION

Objectives: Breast abscesses are common among lactating women most prevalent in developing countries because of poor hygiene, malnutrition, and health conditions. In era of technical advances management of breast abscess has shifted to minimally invasive and painless techniques which are more patient friendly. This study compare outcomes in management of breast abscess by ultrasound-guided needle aspiration, suction drainage, and incision and drainage procedure. Methods: The present study was conducted in department of surgery in collaboration of MGM Medical College Indore with Government Medical College, Khandwa. A total 120 patients of breast abscess were divided in three groups. One group was managed by incision and drainage second group by suction drainage and third group by ultrasound-guided needle aspiration (40 patients in each group). Results: In our study, total 120 patients were analyzed, majority of the cases (40.8%) belong to 21–25 years age group. Post-operative pain, high recurrence rate, fistula formation, cessation of breast feeding, ugly scar formation, and longer duration of hospital stay were observed in incision and drainage procedure. Conclusions: USG-guided needle aspiration was the safest, cost effective, and widely accepted procedure in the treatment of breast abscess as compared to incision and drainage.

Maintaining Breastfeeding During the Treatment of Breast Abscesses Is Not Contraindicated.

Background: World Health Organization guidelines recommend maintaining breastfeeding if a woman develops breast abscess, because of benefits to her recovery and the infant's health. However, clinical staff recommend weaning to promote faster recovery from the abscess. The purpose of this study was to determine whether maintaining breastfeeding after development of a breast abscess has any influence on the resolution of the breast abscess. Methods: The records of 212 patients who were breastfeeding and developed breast abscess treated at Guangzhou Women and Children's Medical Center from January 2018 to December 2019 were retrospectively reviewed. Patients were divided into two groups: those who maintained breastfeeding (study group) and those who stopped breastfeeding (control group). Results: There were 139 patients in study group and 73 patients in the control group. Baseline characteristics were similar between the two groups. The time to cure in the study group and in the control group was 7.20 ± 2.21 days and 7.01 ± 2.39 days, respectively (t = 0.579, p = 0.563). Common complications were milk fistula and galactocele, and the frequency of both was similar between the two groups (milk fistula: 7.9% versus 8.2%, respectively; χ2 = 0.006, p = 0.938; galactocele: 8.6% versus 9.6%, respectively; χ2 = 0.054, p = 0.817). There was no significant difference in the recurrence rates between the two groups (5.0% versus 2.7%; χ2 = 0.184, p = 0.668). Conclusion: Maintaining breastfeeding during treatment of breast abscess does not affect the outcome of treatment provided, on condition that the abscess is treated appropriately.

Acute Issues of Lactation Mastitis Therapy

Introduction. Lactation mastitis can complicate the course of the postpartum period in every tenth case. Under lactation abscess, the tactic of performing wide incisions to drain the breast abscess and complete lactation by medications is common. International studies report that the treatment of lactational purulent mastitis complicated by an abscess is possible in a minimally invasive way - by puncture or drainage of an abscess under ultrasound navigation. The current trend in the treatment of lactational breast abscess also includes preservation of breastfeeding.The aim of the study was to develop a modern approach to the complex treatment of purulent lactation mastitis.Materials and methods. We treated 64 breast abscesses that were complications of lactation mastitis with minimally invasive methods in 2018-2020. Most of the patients preserved lactation.Results and discussion. The average age of patients was 24.9 years. In the first group of patients (puncture techniques for treating abscesses), the diameter was 24 mm on average, in the second group (drainage technique for treating abscesses) the diameter was 53 mm on average. All procedures were performed under local anesthesia. The average score of the severity of pain syndrome was 4.4 points on the day of surgery. The average duration of drainage was 4.4 days. None of patients had a relapse of the disease or formation of a chronic fistula within 2 months followed by the operation. No negative evaluation of satisfaction with the cosmetic result was received. Breastfeeding continued in 78-87.5% of patients after surgery.Conclusion. Minimally invasive surgical techniques in the treatment of breast abscesses (punctures and drainage under ultrasound navigation) are the operations of choice. The optimal treatment of lactation mastitis complicated by a breast abscess, in addition to surgical treatment, includes effective expression of breast milk, administration of antibacterial drugs, non-steroidal anti-inflammatory drugs, and preservation of breastfeeding.

Surgical Improvement of Breast Abscess in Lactating Mothers

Objective: To examine the overall diagnostic and the surgical outcomes among lactating females of breast abscesses who were treated using minimally invasive procedures. Methods: This descriptive case series study was conducted during the seven months from May 2019 to November 2019. At the general surgery department of Liaquat University of Medical &amp; Health Sciences, Jamshoro, treated 60 lactating female patients with probable breast abscesses, with an age of more than 18 years. Percutaneous drainage insertion and ultrasound guided fine needle aspiration (FNA) were used in the treatment of breast abscesses in a minimally invasive manner. Ultrasound-guided fine needle aspiration was performed during drainage installation, followed by the insertion percutaneously of the ordinary drainage catheter through a prick incision. Data was collected by study proforma and SPSS version 20 was used for the analysis of data. Results: Average age of the females was 40 years. Clinical inflammation like puerperal mastitis was in 24(40%) patients, non-puerperal mastitis was in 27(45%) of the cases and other inflammation like as folliculinids and infected seroma were in 9(15%) patients. Fibrocystic variation was seen in 58 percent of the participants. 67 percent of non-puerperal mastitis patients had fibrocystic variations, 17 percent of puerperal mastitis patients had fibrocystic variations, and 56 percent of the other patients with other inflammatory forms had fibrocystic variations. Early problems occurred in 12 of every 60 patients (20%) whose are treated using minimally invasive procedures. Conclusion: As per study conclusion, fine needle aspiration (FNA) as per ultrasound guidance minimally invasive therapy combined with antibiotic treatment was observed to be the effective treatment approach for breast abscesses, and it is also a feasible and safe in terms of less post-operative recovery duration, complications, and hospital stay. Keywords: lactating mothers, Abscess, breast, surgery

Risk Factors for Failure of Ultrasound-Guided Fine-Needle Aspiration Therapy for Lactational Breast Abscess.

Background: Ultrasound-guided fine-needle aspiration in the treatment of breast abscess has become the preferred treatment. Although fine-needle aspiration has a good therapeutic effect, there are still some patients failed who finally underwent drainage. Objective: To analyze the risk factors of ultrasound-guided fine-needle aspiration treatment failure for patients with lactational breast abscess. Materials and Methods: The clinical data of 1,472 patients with lactational breast abscess who underwent ultrasound-guided fine-needle aspiration treatment from January 2014 to March 2017 were analyzed in this retrospective study. According to the treatment results, these patients were divided into two groups: fine-needle aspiration failure group (n = 111) and fine-needle aspiration recovery group (n = 1,361). Chi-square test was used to compare the differences between the two groups in terms of postpartum time, age, location of abscess cavity, number of abscess cavities, volume of pus, frequency of aspiration, infected bacteria, treatment time, weaning, and recurrence. Multivariate logistic regression was used to analyze the risk factors of patients with failed fine-needle aspiration treatment. Results: Univariate analysis showed statistically significant differences in the location of abscess, volume of pus, treatment time, frequency of aspiration, and weaning between the two groups (p < 0.05). Multivariate analysis showed that the location of abscess, volume of pus, frequency of aspiration, and treatment time were risk factors for the failure of ultrasound-guided fine-needle aspiration treatment (p < 0.05). Conclusions: For patients with breast abscess during lactation, abscess in center area, volume of pus >50 mL, frequency of aspiration >3 times and treatment time >14 days, the failure probability of ultrasound-guided fine-needle aspiration treatment was high. Therefore, whether fine-needle aspiration is the preferred treatment for these patients needs to be considered.

Clinical Application of Minimally Invasive Therapy of Lactational Breast Abscess

Traditional treatment of lactational breast abscesses involves incision and drainage, with or without ultrasonographic guidance. These procedures cause considerable discomfort and morbidity for the patients. We conducted a prospective, randomized, clinical study to evaluate the clinical value of minimally invasive therapy for draining lactational breast abscesses. Eighty-six lactating patients with breast abscesses were treated using needle drainage, micro-incision drainage, or traditional incision drainage followed by administration of an anti-staphylococcal antibiotic and daily dressing changes. The treatment outcomes were compared among the three groups. The needle drainage group had obvious advantages in regard to the pain score, healing time, and dressing changes. A few patients in the traditional incision drainage group experienced complications. The failure rate was obviously higher in patients whose abscess diameter exceeded 5 cm (P < 0.01). In conclusion, minimally invasive therapy has value in the treatment of breast abscess, especially in patients with a small abscess cavity.

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.&#x0D; 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).&#x0D; 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.&#x0D; Conclusion: Breast abscess in patients with diameter of 5'7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.&#x0D; Journal of Surgical Sciences (2018) Vol. 22 (1): 11-15

FETOMATERNAL OUTCOME OF PREGNANCY WITH DENGUE INFECTION

Background: Breast abscess is defined as an acute inflammatory lump 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.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,SCL HOSPITAL,AHMEDABAD for a period of 2 years (june 2017 - june 2019). 50 female patients of age between 18-45 years were included in the study after taking written consent form. Of these 25 had undergone usg guided aspiration of the breast abscess (group A) and 25 had undergone incision and drainage of the breast abscess (group B). Results: The mean age of the female patients in the study were 23.9years.The mean healing time and cosmetic outcome was significantly very good in patients treated with needle aspiration compared to incision and drainage. Conclusions: Breast abscess in patients with diameter of less than 5cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

Aspiration Versus Incision and Drainage in the Treatment of Acute Suppurative Breast Abscess

Breast abscess is a common cause of morbidity in women. While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries. This thesis is aiming to show the efficacy of aspiration in the treatment of acute suppurative breast abscess in comparison with traditional methods of incision and drainage. This current study involved fifty patients who were complaining of acute suppurative breast abscesses attending the medical care in Benha University Hospital and Samanud General Hospital. The observation of our study shows that needle aspiration of the abscess with ultrasonographic guidance combined with antibiotics has a great value in the treatment of breast abscess even in abscess with large volume; although repeated aspiration are needed to obtain complete resolution, this therapy is a well-accepted alternative to surgical treatment. Aspiration of the breast abscess through a wide bore cannula is thus a feasible and easy procedure, but may require multiple aspirations for cure. It does not require any mode of anesthesia and can be done on out-patient department basis. Breast abscess in selected group of patients with diameter of less than 4 cm can be treated by aspiration successfully and with a good cosmetic outcome. Aspiration of the breast abscess can be successfully done as initial mode of management in the treatment, but incision and drainage remains the final resort for cure.

Comparative Study Between USG Guided Aspiration and Incision and Drainage in Breast Abscess.

Background: Breast abscess is defined as an acute inflammatory lump 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.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,SCL HOSPITAL,AHMEDABAD for a period of 2 years (june 2017 - june 2019). 50 female patients of age between 18-45 years were included in the study after taking written consent form. Of these 25 had undergone usg guided aspiration of the breast abscess (group A) and 25 had undergone incision and drainage of the breast abscess (group B). Results: The mean age of the female patients in the study were 23.9years.The mean healing time and cosmetic outcome was significantly very good in patients treated with needle aspiration compared to incision and drainage. Conclusions: Breast abscess in patients with diameter of less than 5cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

Primary Closure with Suction Drain of Acute Breast Abscess After Incision, Drainage, and Curettage

Breast abscess is a common challenge for the surgeon as well as the patient. There are various methods for the treatment of breast abscess. We have done a prospective study on the primary closure of breast abscess with a suction drain in situ after incision, drainage, and curettage. A total of 38 cases were enrolled in the study over a period of 34 months. We found the third decade as the most common age group. Lactation was the most common predisposing factor. Staphylococcus aureus was the most common organism in pus. Mean hospital stay was only 4.18 days. The mean healing time was 12.03 days (range 3–16 days). A comparative analysis of other similar studies was done. We concluded that for a large breast abscess, primary suturing after incision and drainage with curettage is a better procedure and should be used wherever possible as it reduces patient morbidity and discomfort.

Clinical analysis on surgical treatment of breast abscess during lactation

Clinical data of 85 patients with breast abscess during lactation treated in our hospital from January 2014 to October 2017 were retrospectively analyzed. Among 85 cases, 30 patients received traditional abscess incision drainage, 35 received needle aspiration, and 20 received negative pressure drainage with small incision. The pus culture findings, average hospitalization expenses, average treatment time, pain score, postoperative breast appearance were evaluated. The pus culture found 24 cases of staphylococcus aureus infection in 85 cases (28%), including 40 cases of Methicillin resistant Staphylococcus aureus (47%). The proportion of central abscess (14/20) in patients with small incision drainage was significantly higher than that of patients with needle aspiration treatment (4/35) (P<0.05). The average hospitalization expense of the puncture group was significantly lower than that of other two groups (P<0.01). The average treatment time of abscess incision drainage group was significantly higher than that of other two groups (P<0.01), and the recovery time was all longer 1 month. The score of pain in the abscess incision drainage group was significantly higher than that in other two groups (P<0.01), and all patients had moderate to severe pain. The breast shape satisfaction of abscess incision drainage group was significantly lower than that of other two groups (P<0.01). The analysis indicates that treatment of breast abscess during lactation with needle aspiration and negative pressure drainage has short treatment time, no scars and less pain; and it is suggested that central abscess may be treated early with negative pressure drainage. Key words: Abscess; Mastitis; Drainage; Suction

Use of Undecylenamide Propyl Betaine and Polyhexamidine in the Treatment of Mammary Abscess with Mammotome System

Objective: To investigate the application value of elemene amidopropyl betaine and polyhexamidine (Prontosan wound irrigation solution) in the treatment of breast abscess with Mammotome system and abscess incision and drainage. Methods: Totally 80 breast abscess patients treated in our hospital were randomly divided into 2 groups, which were divided into two groups: the control group and the control group. The two groups were treated with undecylenamide propyl betaine Polygonum biguanide (Prontosan wound irrigation solution) repeated washing, and give the conventional dressing, t test was used to compare the two groups of wound healing time, dressing change, dressing pain situation, the use of 2 test to compare the two groups of patients relapse rate . Results: Compared with incision and drainage group, the wound healing time was shorter, the number of dressings was less, the degree of dressing change was lighter, the relapse rate between two groups was higher than that of the control group low.

Changing the Paradigm of Breast Abscess Management-Ultrasound Aspiration and Suction Drain versus Incision and Drainage in Treatment of Breast Abscess

Changing the Paradigm of Breast Abscess Management-Ultrasound Aspiration and Suction Drain versus Incision and Drainage in Treatment of Breast Abscess