A Comparative Study of Drainage of Breast Abscesses by Conventional Incision and Drainage Vs Ultrasound Guided Needle Aspiration/Re- Aspiration in a Tertiary Health Care Centre

Abstract

Background:  Breast abscesses are common among lactating women most prevalent in developing countries because of poor hygiene, malnutrition, and health conditions. In an era of technical advances management of breast abscesses has shifted to minimally invasive and painless techniques that are more patient-friendly. This study compares outcomes in the management of breast abscesses by ultrasound-guided needle aspiration, suction drainage, and incision and drainage procedures.

Materials & Methods: The present study was conducted in the department of surgery in the tertiary health center (Meenakshi Medical College Hospital & research institute, enathur , Kanchipuram . A total of 120 patients with breast abscess were divided into two groups. One group was managed by incision and drainage second group by ultrasound-guided needle aspiration (60 patients in each group).

Results: In our study, a total 120 patients were analyzed, the majority of the cases (40.8%) belong to 21–25 years age group. Post-operative pain, high recurrence rate, fistula formation, cessation of breastfeeding, ugly scar formation, and longer duration of hospital stay were observed in incision and drainage procedure

Conclusion: 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.