Sikandar Ali, Sadiqa Bano Haider, Abdullah El Muttaqi, Najam Rajpar, Rasheeqa Mahmood, Farooq Umer.
Comparison of outcome between percutaneous aspiration and incision and drainage in cases of lactational breast abscess.
Pak J Surg Jan ;36(2):135-40.

Breast abscesses are the formation of fluid (pus) in breast tissues and are usually common in lactating mothers. Therapies include percutaneous aspiration and is considered as one of the safe and highly effective treatment with high healing rate, less to no risk of reoccurrence for curing breast abscesses. Another one is incision and drainage. This is considered as the traditional approach of breast abscesses treatment. This approach has prolonged curing time with high chances of reoccurrence. Further to this, women underwent this approach are maximally not allowed to feed their babies. This approach is considered as less satisfactory on outcomes and is more expensive like need more hospitalization, regular dressing, dressing pain, series of medication, and so on. The studies recommend that this approach of treatment should not be considered for acute breast abscesses. The advanced approaches are more effective with less to no chances of reoccurrence rate and are cost-friendly as well. The incision and drainage approach of treatment for breast abscesses are more highlighted in terms of management and healing. Objective: To compare the outcome of percutaneous aspiration with incision drainage for management of breast abscess among lactating mothers. Place and duration: This was randomized controlled trial carried out at Department of General Surgery, Sir Ganga Ram Hospital, Lahore, from March 2016 to December 2016. Material and Methods: 80-lactating mothers with breast abscess (< 4cm) were included. 40-patients in group-A had percutaneous aspiration, while 40-patients in group-B had incision drainage. The patients were evaluated for healing of abscess and cessation of breast feeding. Statistical significance determined by chi-square test (p< 0.05 was taken as significant). Results: Cessation of breast feeding was observed among 2(5%) in group-A and in 29 (72.5%) in group-B, (p < 0.05). While the healing rate does not differ much. Conclusions: Percutaneous aspiration of the breast abscess is a better and safer alternate to incision and drainage in lactating females.

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