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Original Research 


Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess

Kaushal Dashrathbhai Suthar, Bhavna Natvarlal Mewada, Keyur Narendrabhai Surati, Jainam Kamleshbhai Shah.

Cited by (2)

Abstract
Background: The treatment of puerperal breast abscess is a clinical dilemma which ranges from conservative treatment to surgical intervention. A recently highlighted approach is drainage of pus by needle aspiration with ultrasound guidance under antibiotic cover. This approach had advantage of complete resolution without incision scar, less morbidity and will allow the patient to carry on breast feeding.

Aims & Objective: The aim of this study is to compare the management of puerperal breast abscess by percutaneous ultrasound guided needle aspiration versus open surgical drainage with special attention to resolution and complications.

Material and Methods: In this interventional study, 70 puerperal breast abscess cases were randomly divided and undergone either percutaneous ultrasound guided niddle aspiration (Group A) or open surgical drainage (Group B) and results were compared.

Results: Failure rate for aspiration therapy was17.14% with 06 patients requiring conversion to open surgical drainage after aspiration and were excluded from study. The resolution time was less in aspiration group. Painful and cumbersome daily changes of dressing, mammry fistula in 3 patients with ugly scar were the main drawback of open surgical drainage as compared to aspiration. However, there was high failure rate of aspiration therapy in abscesses presenting later than 5 days (45.83%) and those with >5 cm size (55.55%) on ultrasonography.

Conclusion: Percutaneous ultrasound guided needle aspiration has acceptable failure rate and is an effective alternative to open surgical drainage of puerperal breast abscess especially for those present early and of small size.

Key words: Puerperal Breast Abscess; Percutaneous Ultrasound Guided Needle Aspiration; Open Surgical Drainage


 
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This Article Cited By the following articles

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How to Cite this Article
Pubmed Style

Suthar KD, Mewada BN, Surati KN, Shah JK. Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. Int J Med Sci Public Health. 2013; 2(1): 69-72. doi:10.5455/ijmsph.2013.2.69-72


Web Style

Suthar KD, Mewada BN, Surati KN, Shah JK. Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. http://www.ijmsph.com/?mno=25824 [Access: July 22, 2018]. doi:10.5455/ijmsph.2013.2.69-72


AMA (American Medical Association) Style

Suthar KD, Mewada BN, Surati KN, Shah JK. Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. Int J Med Sci Public Health. 2013; 2(1): 69-72. doi:10.5455/ijmsph.2013.2.69-72



Vancouver/ICMJE Style

Suthar KD, Mewada BN, Surati KN, Shah JK. Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. Int J Med Sci Public Health. (2013), [cited July 22, 2018]; 2(1): 69-72. doi:10.5455/ijmsph.2013.2.69-72



Harvard Style

Suthar, K. D., Mewada, B. N., Surati, K. N. & Shah, J. K. (2013) Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. Int J Med Sci Public Health, 2 (1), 69-72. doi:10.5455/ijmsph.2013.2.69-72



Turabian Style

Suthar, Kaushal Dashrathbhai, Bhavna Natvarlal Mewada, Keyur Narendrabhai Surati, and Jainam Kamleshbhai Shah. 2013. Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. International Journal of Medical Science and Public Health, 2 (1), 69-72. doi:10.5455/ijmsph.2013.2.69-72



Chicago Style

Suthar, Kaushal Dashrathbhai, Bhavna Natvarlal Mewada, Keyur Narendrabhai Surati, and Jainam Kamleshbhai Shah. "Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess." International Journal of Medical Science and Public Health 2 (2013), 69-72. doi:10.5455/ijmsph.2013.2.69-72



MLA (The Modern Language Association) Style

Suthar, Kaushal Dashrathbhai, Bhavna Natvarlal Mewada, Keyur Narendrabhai Surati, and Jainam Kamleshbhai Shah. "Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess." International Journal of Medical Science and Public Health 2.1 (2013), 69-72. Print. doi:10.5455/ijmsph.2013.2.69-72



APA (American Psychological Association) Style

Suthar, K. D., Mewada, B. N., Surati, K. N. & Shah, J. K. (2013) Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess. International Journal of Medical Science and Public Health, 2 (1), 69-72. doi:10.5455/ijmsph.2013.2.69-72





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