A Comparison of Needle Aspiration Versus Incision & Drainage of Breast Abscess in Terms of Complications and Outcomes
Keywords:
Breast abscess, percutaneous aspiration, Incision drainage, outcomesAbstract
Background: Incision and drainage (I&D) and Needle aspiration are the most common treatment modalities for breast abscesses. Incision and drainage (I&D) is the traditional approach, while ultrasound-guided needle aspiration (USGA) offers a less invasive alternative. This study aimed to compare the efficacy and outcomes of USGA and I&D in managing breast abscesses in women
Methods: This comparative study was carried out in the department of surgery, Sanjay Gandhi Memorial Hospital, Shyam Shah Medical College, Rewa (M.P.). The study included 100 women with breast abscesses, divided into two groups; USG guided aspiration (group A) and I & D (group B). Data on treatment outcomes, and complications were compared and analysed.
Results: USG observation shows that the diameter, number and volume of abscess cavity were significantly differ among I & D and aspiration groups (p<0.05). The wound healing were significantly faster (97.7%) among aspiration group as compared to I & D (82.5%) groups (p<0.05). Hypertrophic scar was significantly higher in I & D group (P<0.05) and recurrence rate was higher in aspiration group. Pain score and mean hospital stay was higher in I &D group.
Conclusions: Percutaneous needle aspiration in breast abscess was successful and affective treatment method as compared to incision drainage with less complications and high satisfaction rate among the women.
Downloads
Metrics
References
Boakes E, Woods A, Johnson N, Kadoglou N. Breast Infection: A review of diagnosis and management practices. Eur J Breast Health 2018; 14:136-43.
Rajkumar PN, Sumedha PS, Dinakara AL, Hiremath SK. Needle aspiration vs. incision and drainage in breast abscess management: Comparative cross-sectional study. Journal of Cardiovascular research. 2023; 14(2):46-51.
Sharma K, Costas A, Shulman LN, Mera JG. A systematic review of barriers to breast cancer care in developing countries resulting in delayed patient presentation. J Oncol 2012; 2012:121873. doi:10.1155/2012/121873.
Kataria K, Srivastava A, Dhar A. Management of lactational mastitis and breast abscesses: review of current knowledge and practice. In J Surg. 2013; 75(6):430-5.
Toomey AE, Le JK. Breast Abscess. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2024 [cited 2024 Jun 14]. Available from: http://www.ncbi. nlm.nih.gov /books/NBK4591 22/.
Leibman AJ, Misra M, Castaldi M. Breast abscess after nipple piercing: sonographic findings with clinical correlation. Journal of ultrasound in medicine. Official journal of the American Institute of Ultrasound in Medicine. 2011; 30(9):1303-8.
Trop I, Dugas A, David J et al. Breast Abscesses: Evidence Based Algorithms for Diagnosis, Management, and Follow-Up. Radiographics. 2011; 31(6):1683-99.
Hussain N, Khan I, Ahmed T, Parveen S, Malik M, Khan MI. Comparison of the restoration of breast feeding after percutaneous aspiration vs incision and drainage for management of breast abscess. Journal of Liaquat University of Medical & Health Sciences. 2018; 17(01):47-51.
Chandika AB, Gakwaya AM, Kiguli-Malwadde E, Chalya PL. Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience. BMC Res Notes. 2012 Jan 6; 5:12.
Lam E, Chan T, Wiseman SM. Breast abscess: evidence based management recommendations. Expert review of anti-infective therapy. 2014 Jul 1; 12(7):753-62.
Pal B, Shaikh O, Vijayakumar C, Prakash S, Balasubramanian G, Kumbhar U. A Randomized Controlled Trial Comparing Ultrasonography-Guided Needle Aspiration and Surgical Drainage for the Management of Breast Abscess. Cureus [Internet]. [Cited 2024 Jun 16]; 15(12):e50956.
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. Ann Med 2023; 55:2224045
Samir Shukla, Prasoon Singh, Akshara Rathore, Snehil Shukla, A Comparative Study of Drainage of Breast Abscess by Incision and Drainage V/S USG Guided Aspiration, International Journal of Current Pharmaceutical Review and Research 2024; 16(11); 1-6.
Sidra Mehmood Dar, Sehrish Siddique, Usman Qureshi, Sumaira Nawaz. Ultrasound guided needle aspirations versus incision and drainage for lactational breast abscess: A randomized control trial. TPMJ [Internet]. 2022 Jun 30 [cited 2024 Jun 16]; 29(07):938–42
Fathy E, Nashed GA, Awadallah EG, Shokralla SY, Abd Elmonim AM. Comparative study between surgical drainage of acute lactational breast abscess and ultrasound-guided needle aspiration and/or drainage. Egypt J Surg 2022; 41:97-104.
Maha T ariq, Naveed Ahmed, Iftikhar Ahmed, Zainab Qutbuddin, Rafia Wakil, Sidra Batool, Comparison of Aspiration Versus Incision and Drainage in the Treatment of Breast Abscess, in terms of Recurrence: An Analytical Cross-Sectional Study, J Dow Univ Health Sci 2024, Vol. 18(3): 150-156150
Totadri VM, Vetri R, Sainath S. 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
David M, Handa P, Castaldi M. Predictors of outcomes in managing breast abscesses-A large retrospective single-center analysis. Breast J 2018; 24:755-63.
Dr. Pradip Kasabe and Dr. Abhishek Shetty, A comparative study between USG guided aspiration and incision and drainage of breast abscess, International Journal of Surgery Science 2022; 6(2): 24-29
Karvande R, Ahire M, Bhole M, Rathod C. Comparison between aspiration and incision and drainage of breast abscess. Int Surg J 2016; 3:1773-80.
Hamid HS, Osama MI. Percutaneous Needle Aspiration Is A Minimally Invasive Method For A Breast Abscess. Arch Clin Exp Surg. 2012;1(2):1059.
Ankit chorma, Arun Kumar Pargi, Rinku Yadav, a comparative study of drainage of breast abscess by conventional incision and drainage versus suction drainage versus ultrasound-guided needle aspiration, Asian J Pharm Clin Res, Vol 15, Issue 11, 2022, 29-31
Voruganti MR, Sistu MK, Gadipudi HC. A comparative study on ultrasound guided percutaneous aspiration versus incision and drainage in the management of small breast abscesses. International Surgery Journal 2022; 9: 620-626
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
