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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 163-166

Ultrasound-guided aspiration compared to incision and drainage in the management of breast abscess

1 Department of Surgery, Government Medical College, Kozhikode, Kerala, India
2 Department of Radiodiagnosis, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Roben Sebastian
Department of General Surgery, Government Medical College, Kozhikode - 673 008, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_20_20

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Introduction: Breast abscess is a common cause of morbidity in women. Ultrasound-guided needle aspiration, as opposed to formal I&D, is becoming the standard of care for most breast abscesses. This study aimed to establish whether ultrasound-guided aspiration is a comparable option to incision and drainage for breast abscess and to study the microbiological profile and antibiotic sensitivity pattern observed in breast abscess. Materials and Methods: Fifty females aged 20–40 years with breast abscess were analysed, of these 25 patients had ultrasound-guided needle aspiration (Group A) and 25 patients had incision and drainage (Group B). Group A patients were followed up on days 3, 7 and 14 by both clinically and radiologically (US), with repeated aspirations done on day 3 and 7. The presence of breast abscess on day 14 was considered as treatment failure, for whom incision and drainage was performed. Group B had incision and drainage done, followed up at 2 weeks. Scar length was assessed at 12 weeks for Group A and B. The results were statistically analysed. Results: The mean age of Group A was 31 and Group B was 30. Out of the 25 in Group A, 88% underwent resolution with no scar and 12% had failure. 100% of the patients in Group B had resolution, but had a definitive scar. Conclusions: US-guided aspiration of breast abscess is a comparable treatment option in the management of breast abscess as opposed to incision and drainage with the added advantage of minimal or no scar.

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