Comparison of Ultrasound Guided Needle Aspiration (ASP) and Incision and Drainage (I&D) in Lactating Breast Abscess

Abstract

Background: Breast abscess (BA) is a major source of morbidity in underdeveloped nations, and treatment remains difficult. The most frequent treatments for BA include antibiotics, incision and drainage (I&D), and ultrasound-guided needle aspiration (ASP). There is mixed data about the effectiveness of ASP and I&D. Objective: To compare ultrasound guided needle ASP and I&D in lactating breast abscess. Study Design: Randomized controlled trail. Settings: Department of Surgery, Allied Hospital, Faisalabad Pakistan. Duration: Six months from July 01, 2021 to December 31, 2021. Methods: From total 70 patients, 35 (Group A) underwent USG guided ASP and 35 (Group B) underwent I&D under GA. Follow-up of patients was done after 30days and efficacy was noted. Results: Mean age of the patients in groups A and B was 28.915.24 and 29.044.05, respectively. Site of abscess in majority of patients (60% in group A and 48.57% in group B) was Infero-lateral. Mean abscess size was of 3.41 ± .38 in group A and 3.46 ± 0.41 in group B. Mean Healing time was 22.0+1.86 in group A and 43.21+2.14 in group B and a significant difference was noted in healing time of two groups (P0.002). Efficacy was 94.29 in group A and 77.14% in group B. Conclusion: The frequency of early success rate of USG guided needle aspirations in terms of early healing of breast abscess is significantly higher as compared to I & D.