A COMPARATIVE STUDY OF CONVENTIONAL INCISION AND DRAINAGE VERSUS CATHETER DRAINAGE OF BREAST ABSCESS IN A TERTIARY CARE CENTER
Aim: The purpose of this study is to evaluate the management of breast abscess with catheter drainage compared to conventional incision and drainage.
Material and Methods: The study was carried out in Department of Surgery, Chirayu Medical College and hospital, Bhopal. 40 patients of breast abscess who were admitted in female surgical ward from January 2013 to January 2018, were included in this study.
Result: In this study, Majority of the patients (80%) were in the age group of 21-30 years. Breast abscesses were predominantly seen to be occurring in the post partum period, i.e. during lactation (77.5%). Pain and lump were present in all cases. These two were regarded as the cardinal features in the diagnosis of breast abscess. The most common organism cultured was staph, aureus which was present in 85% of cases. Mean duration of hospital stay in drainage group was almost half (7.58) to that of incision and drainage (18.7 days).
Conclusion: It is concluded that incision and closed catheter drainage is a better and logical choice than incision and drainage for the treatment of breast abscess. It is superior to incision and drainage in duration of healing, hospital stay, days of work loss, work load on hospital staff and hospital visits henceforth is a cost-effective method that is beneficial to the patients as well to the hospital.
Benson EA. (1982). “Breast abscesses and breast cysts”, The practitioner, Vol.226, pp.1397 - 1401.
David MAJ, Aekland and Zeigler G. (1973). “Abscess in nonlactating breast”, Arch. Surg, Vol.107, pp.388-401.
Harish, and Champakam. (1995). “Catheter drain of breast abscess”, US May-June, pp.205-206.
Hindlekar MM, and Samsi AB. (1979). “Incision, Curettage and primary suturing of acute abscesses”, Ind. Jr. of Surg, Vol.Sept, pp.510 -514.
Khanna YK; Khanna A, Arora YK, and Mathur G, et al. (1989). “Primary closure of lactational breast abscess”, J Indian Med Assoc, May, Vol.87(5), pp.118-120.
Knight ICS, and Nolan B. (1959). “Breast abscess”, British Medical Journal, Vol.1, pp.1224- 1226.
Odiya S, Mathur R, and Arora S. (2016). “Comparative study of conventional incision and drainage versus percutaneous placement of suction drain, Changing trend of breast abscess management”, Indian Jour of Surg, Vol.3(6), pp.1580-1584.
Page RE. (1974). “Treatment of axilary abscesses by incision and primary suture under antibiotic cover”, Brit J Surg, Vol.61, pp.493-494.
Rintoul RF. (1995). “Farquharson's Text Book of Operative Surgery”, Ed. 8, Churchil Livingstone, New York, pp.332-334.
Russel RCG, William NS, and Mann CV. (1995). “Bailey and Love's short practice of surgery”, Ed. 22, H.K. Lewis & Co. Ltd., London, pp.543,548-549.
Smith EH, and Bartrum RJ Jr. (1974). “Ultrasonically guided percutaneous aspiration of abdominal abscesses”, Am. J. Roentgenol Radium ther, Nucl, Med, Vol.122, p.308.
Stewart MPM, Leing MR, and Krukowski ZH. (1985). “Treatment of acute absceses by incision, curettage and primary suture without antibiotics: a controlled clinical study”, Brit J. Surg, Vol.72, pp.66-67.
Tewari M, and Shukla HS. (2006). “An effective method of drainage of puerperal breast abscess by percutaneous placement of suction drain”, Indian Jour of Surg, Vol.68(6), pp.330-333.
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