DOI: http://dx.doi.org/10.18203/2349-2902.isj20193682

A randomized controlled trial comparing repeated ultrasound guided aspiration versus suction catheter drainage in breast abscess

Ruby Kataria, Saumya Singh, Faraz Ahmad, Surender Kumar, Anit Parihar

Abstract


Background: Among different comorbidities in lactating women, breast abscess is most dreaded and common. It is more prevalent in developing world, etiology implicated to malnutrition, poor hygiene 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.

Methods: Hospital based randomized controlled trial was conducted at Department of Surgery, and Department of Radiodiagnosis, King Georges Medical University, Lucknow UP.

Results: In our study total 80 patients were analysed, 40 randomized into USG guided needle aspiration group and other 40 into suction catheter placement group. Incidence of breast abscess was higher in lactating group and most common organism was Staphylococcus aureus. It was found that majority of women in both groups were lactating and mean age was 30 years. Same degree of fever was experienced in lactating group as in non-lactating. Amount of pain and scar volume was significantly higher in USG guided needle aspiration group.

Conclusions: It seems that two treatment modalities have same effect in terms of fever and residual volume but pain and scar volume was significantly higher in group with USG guided needle aspiraton.


Keywords


Breast abscess, Needle aspiration, Incision and drainage

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References


Kim Y. Effects of a breast-feeding empowerment program on exclusive breast-feeding. Journal of Korean Acad Nursing. 2009;39(2):279-87.

Chandika AB, Gakwaya AM, Kiguli-Malwadde E, Chalya PL. Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience. BMC Res Notes. 2012;5(1):12.

Ozseker B, Ozcan UA, Rasa K, Cizmeli OM. Treatment of breast abscesses with ultrasound-guided aspiration and irrigation in the emergency setting. Emergency radiology. 2008;15(2):105-8.

Dener C, Inan A. Breast abscesses in lactating women. World J Surg. 2003;27(2):130.

Schwarz RJ, Shrestha R: Needle aspiration of breast abscesses. AMJ Surg. 2001;182:117.

O'Hara RJ, Dexter SP, Fox JN. Conservative management of infective mastitis and breast abscesses after ultrasonographic assessment. Br J Surg. 1996;83(10):1413-4.

Benson EA. Management of breast abscesses. World J Surg. 1989 Nov 1;13(6):753-6.

Strauss A, Middendorf K, Müller-Egloff S, Heer IM, Untch M, Bauerfeind I. Sonographically guided percutaneous needle aspiration of breast abscesses-a minimal-invasive alternative to surgical incision. Ultraschall in der Medizin (Stuttgart, Germany: 1980). 2003;24(6):393-8.

Kataria K, Srivastava A, Dhar A. Management of lactational mastitis and breast abscesses: review of current knowledge and practice. Indian J Surg. 2013;75(6):430-5.

Tewari M, Shukla HS. An effective method of drainage of puerperal breast abscess by percutaneous placement of suction drain. Indian J Surg. 2006 Dec 1;68(6):330-3.

Odiya S, Mathur R, Arora S. Comparative study of conventional incision and drainage versus percutaneous placement of suction drain: changing trend of breast abscess management. Int Surg J. 2016;3(3):1580-4.

Wei J, Zhang J, Fu D. Negative Suction Drain Through a Mini Periareolar Incision for the Treatment of Lactational Breast Abscess Shortens Hospital Stay and Increases Breastfeeding Rates. Breastfeeding Med. 2016;11(5):259-60.