A PROSPECTIVE STUDY BETWEEN NEEDLE ASPIRATION AND INCISION AND DRAINAGE OF BREAST ABSCESS IN LACTATING MOTHERS
Authors: Chowdary AY , JANUGADE HB AND MEHTA T

ABSTRACT
OBJECTIVE ? Breast abscess is a common problem in women and especially in mothers who are breast feeding causing complications to the mother. ? The main aim of the study is to do comparison between the results obtained after doing needle aspiration or incision and drainage keeping in mind various factors like recurrence, post procedure scar formation, pain, time needed for healing. ? To study the most common organisms responsible for breast abscess and its sensitivity to various drugs. ? To study the most common source of infection in lactating mothers. STUDY DESIGN ? A study design used is prospective study, SETTING ? Krishna institute of medical sciences, Karad. SUBJECTS AND METHODS Patients who attend OPD of general surgery or coming to the emergency department of Krishna Hospital and Medical Research Center, Karad having breast abscess and are breast feeding were taken in the study. ? A total of 50 patients were taken in the study. Divided in two groups Group A. Group B (25 patients) (25 patients) Procedure done: needle aspiration. Open surgical drainage RESULTS ? Needle aspiration and antibiotics healing is a procedure done in the surgical outpatient department and is less expensive compared to incision and drainage and budget friendly. ? Patient belonging to group A showed greater level of relief and results. Mean time of healing is 15-20 days. ? Incision and drainage were done in patients in group B, but it is related with some complications like big scar, breast feeding has to be stopped for few days in some cases and delayed healing. Mean time of healing is 25-30 days. CONCLUSION ? Conclusion derived from this study is that in small and uniloculated breast abscess percutaneous needle aspiration along with antibiotic cover is better method for treatment. ? When patients condition does not improve by needle aspiration or the abscess is large, then incision and drainage should be done. Keywords: Needle Aspiration, Breast Abscess, Lactating Mothers
Publication date: 15/02/2022
    https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1003.pdf
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https://doi.org/10.31032/IJBPAS/2022/11.2.1003