COMPARISON OF OUTCOME (IN TERMS OF RECURRENCE) OF INCISION & DRAINAGE VERSUS ASPIRATION OF BREAST ABSCESS

Authors

  • SSU HASSAN Department of Surgery, Nishtar Medical University Hospital, Multan, Pakistan
  • T HIRAJ Department of Surgery, Nishtar Medical University Hospital, Multan, Pakistan
  • A NADEEM Department of Surgery, Surgical Unit II, D.G Khan Medical College/ Allama Iqbal Teaching Hospital, D.G Khan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.783

Keywords:

Recurrence, Incision & Drainage, Breast Abscess, Aspiration

Abstract

Breast abscesses can lead to significant morbidity and have a negative impact on quality of life. This study aimed to compare recurrence rates after incision and drainage versus aspiration techniques in managing breast abscesses. Objective: To compare the outcome of incision and drainage versus aspiration techniques in managing breast abscesses, specifically recurrence rates. Methods: This study employed a Randomized Controlled Trial design and was conducted at the Department of General Surgery, Nishtar Hospital, Multan, over a period of six months from July 1, 2019, to January 1, 2020. A total of 60 patients meeting the inclusion criteria were randomized into two groups: Group A underwent needle aspiration, while Group B underwent incision and drainage. Both groups received a 10-day course of tab. Ciprofloxacin 500mg BD and tab danzen DS BD. The researcher performed all the procedures. Patients were followed for two weeks, and recurrence of the abscess was recorded as either "yes" or "no". Results: The study included 60 patients with a mean age of 25.58 ± 3.64 years. Of these, 35 (58.3%) were from rural areas and 25 (41.7%) from urban areas. Seventeen (28.3%) patients were unmarried, and 43 (71.7%) were married. The mean body mass index was 25.12 ± 1.97 kg/m2, with obesity present in 7 (11.7%) patients. Thirty-five (58.3%) patients were lactating, with a mean abscess duration of 3.25 ± 0.57 months. The mean abscess size was 1.20 ± 0.18 centimeters, with 55 (91.7%) abscesses ≤ 2 centimeters in size. Diabetes was not present in any patients. Recurrence occurred in 15 (25.0%) patients, with a recurrence rate of 13.3% in Group A and 36.7% in Group B (p = 0.072). Conclusion: The recurrence of breast abscesses was lower in the aspiration group compared to the incision and drainage group. These findings support the use of needle aspiration techniques for the management of breast abscesses. Surgeons treating such patients should consider employing aspiration techniques to achieve better outcomes, thereby reducing the burden of related morbidities and mortalities.

Downloads

Download data is not yet available.

References

Woodard GA, Bhatt AA, Knavel EM, Hunt KN. Mastitis and more: a pictorial review of the red, swollen, and painful breast. Journal of Breast Imaging. 2021;3(1):113-23.

Amir LH, Baeza C, Charlamb JR, Jones W. Identifying the cause of breast and nipple pain during lactation. bmj. 2021;374.

Whitaker-Worth D, Carlone V, Susser W, Phelan N, Grant-Kels J. Dermatologic diseases of the breast and nipple. Journal of the American Academy of Dermatology. 2000;43(5):733-54.

Al-Hilli Z, Wilkerson A. Breast surgery: management of postoperative complications following operations for breast cancer. Surgical Clinics. 2021;101(5):845-63.

Mitchell KB, Johnson HM. Breast conditions in the breastfeeding mother. Breastfeeding: Elsevier; 2022. p. 572-93.

Brown L. Improving Percutaneous Drainage of Infected Pancreatic Necrosis by Drain Re-design and Enzymatic Liquefaction: ResearchSpace@ Auckland; 2018.

Parveen S. Assessment of Surgical Management Modalities and Their Postoperative Outcome of Retroperitoneal Sarcomas: A Study in a Tertiary Care Hospital, Dhaka, Bangladesh. SAS J Med. 2021;7:313-9.

Rataiczak H, Lavin J, Levy M, Bedwell J, Preciado D, Reilly BK. Association of recurrence of infected congenital preauricular cysts following incision and drainage vs fine-needle aspiration or antibiotic treatment: a retrospective review of treatment options. JAMA Otolaryngology–Head & Neck Surgery. 2017;143(2):131-4.

Boakes E, Woods A, Johnson N, Kadoglou N. Breast infection: a review of diagnosis and management practices. European journal of breast health. 2018;14(3):136.

Fahrni M, Schwarz EI, Stadlmann S, Singer G, Hauser N, Kubik-Huch RA. Breast abscesses: diagnosis, treatment and outcome. Breast Care. 2012;7(1):32-8.

Dhamija E, Gulati S, Hari S. Imaging spectrum in tropical breast infections. British Journal of Radiology. 2024;97(1154):315-23.

Baykan AH, Sayiner HS, Inan I, Aydin E, Erturk SM. Primary breast tuberculosis: imaging findings of a rare disease. Insights into Imaging. 2021;12:1-11.

Zhou F, Li Z, Liu L, Wang F, Yu L, Xiang Y, et al. The effectiveness of needle aspiration versus traditional incision and drainage in the treatment of breast abscess: a meta-analysis. Annals of Medicine. 2023;55(1):2224045.

Asciak R, Bedawi EO, Bhatnagar R, Clive AO, Hassan M, Lloyd H, et al. British thoracic Society Clinical Statement on pleural procedures. Thorax. 2023;78(Suppl 3):s43-s68.

Tsaras K, Papathanasiou IV, Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pacific journal of cancer prevention: APJCP. 2018;19(6):1661.

Downloads

Published

2024-04-03

How to Cite

HASSAN , S., HIRAJ , T., & NADEEM , A. (2024). COMPARISON OF OUTCOME (IN TERMS OF RECURRENCE) OF INCISION & DRAINAGE VERSUS ASPIRATION OF BREAST ABSCESS. Biological and Clinical Sciences Research Journal, 2024(1), 783. https://doi.org/10.54112/bcsrj.v2024i1.783

Most read articles by the same author(s)