1Associate Professor, Department of Surgery, Rama Medical College, Hapur
2Associate Professor, Department of Radiology, Rama Medical College, Hapur
3Associate Professor, Department of Obst. & Gyn., Rama Medical College, Hapur
4Associate Professor, Department of Pediatrics, Muzaffarnagar Medical College
5Intern, Saharanpur District Hospital, Saharanpur
6Intern, Kempegowda Institute of Medical Sciences, Bangaluru
*Address for Correspondence: Dr. Navneet Garg, Associate Professor, Department of Surgery, Rama Medical College, Hapur, Uttar Pradesh, Email: gargnavneet13@gmail.com
Online published on 2 September, 2017.
Breast abscess is collection of pus in breast tissue. It mainly affects women between the age of 18 to 50 years & more common in lactating females. The conventional treatment is incision and drainage with antibiotics. But it requires hospital stay, continuous dressing and anaesthetic hazards. Incision and drainage leaves an ugly scar which is not acceptable in this era of minimal invasive surgery, so new techniques are introduced like ultrasound guided needle aspiration of abscess and placement of suction catheter in breast abscess. This technique is less invasive and leaves small or no scar and is more economical with less hospital stay.
The aim of our study was to evaluate the technique of ultrasound guided percutaneous placement of suction catheter in breast abscess & to compare the hospital stay, average age of patient, with relation of lactation, post-operative discomfort, visit to the hospital, average expenditure and causative organism.
In this randomized controlled clinical trial, forty four patients were divided in two groups. One group was treated by ultrasound guided placement of suction drain and other by conventional incision & drainage. The two groups were compared on following parameters-duration of surgery, duration of hospital stay, scar mark, effect on breast feeding and expenses.
Maximum number of breast abscess cases were seen in 20–35 years age group (N=36, 82%). Most common location was upper outer quadrant of breast (N=20, 46%). Staph. aureus was identified as commonest organism (N=33, 75%). With ultrasound guided percutaneous indwelling catheter drainage, patients went home on the same day, average time taken in the procedure (15 minutes) and expenses (approx. Rs. 1000) were much less and lactation was required to discontinue only in 2 (7%) cases. While with conventional method of incision & drainage, all patients required 4–5 days stay in hospital with discontinuation of lactation & average time taken in the procedure (45 minutes) and expenses were much higher (Rs. 5000–6000) than with percutaneous indwelling catheter drainage.
Ultrasound guided percutaneous indwelling catheter drainage of breast abscess is an out-patient department procedure with no hospitalization, no scarring or distortion of breast parenchyma, minimal discomfort & less expenditure.
Ultrasound guided indwelling catheter drainage, Incision & drainage, Breast abscess
