TO COMPARE THE EFFECTIVENESS OF CONVENTIONAL INCISION AND DRAINAGE VERSES USG GUIDED PERCUTANEOUS NEEDLE ASPIRATION IN TREATMENT OF BREAST ABSCESS.

Corresponding Author:
Dr. Vajreshwari M. Vagger,
Plot No. 10, Sri Sai Krupa,
Raghoji Layout, Bedam Road,
Kalaburgi-585105, Karnataka, India.
E-mail:vajreshwarimv@gmail.com

ABSTRACT

BACKGROUND

Breast abscess can occur as a complication of mastitis. The conventional treatment of breast abscess has been incision and drainage. Minimally invasive surgery is the current trend. Conventional Incision and drainage of breast abscess leads to more pain, delayed wound healing and prolonged cessation of breast feeding. As the condition occurs in young women, scar is a major concern. This study attempts to evaluate a newer method (USG guided percutaneous needle aspiration) and compare it with the conventional method i.e. incision and drainage who presented to Basaveshwara Teaching and General Hospital, Kalaburagi.

METHODS

This is a non-randomized controlled trial. The main source of data for the study are patients admitted to Basaveshwara Teaching and General Hospital, Kalaburagi, attached to Mahadevappa Rampure Medical College, Kalaburagi, with primary diagnosis of lactational breast abscess less than 5 cms. Study period is from January 2016 to June 2017. 100 cases were included in the study and were divided into group A and group B based on the size of abscess.Sample size was taken for convenience during the study.

RESULTS

Average age in our study was 24.5 yrs. Most common mode of presentation is pain and lump (69). Most of the patients presented within 2 weeks (92%). 95% were unilateral cases, 5% were bilateral cases. In group A, 22% had mild and annoying pain, group B 48% patients didn’t have any pain, 2% suffered from mild and annoying pain. Group A- 26 patients were hospitalized for more than 5 days. Group B- 40 patients were treated on OPD basis. Breastfeeding interruption in 100% cases of incision and drainage; no breastfeeding interruption in group B. complication were residual abscess, incomplete wound healing and scar formation.

CONCLUSIONS

‘Incision and dependent drainage’ has been the gold standard technique in the treatment of breast abscess for years; but now the latest trend is ‘USG guided percutaneous needle aspiration’ which involves less postoperative pain, no cessation of breast function, results in no scar, is cosmetically beneficial and needs less hospital stay. USG guided percutaneous needle aspiration is better than incision and drainage.