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

Sultan Mahmood Khan; Rana Asrar Ahmad Khan; Habib Qadir; Shaukat Ali; Samina Kausar

doi:10.29054/apmc/2022.1419

Sultan Mahmood Khan Assistant Professor, Aziz Fatima Medical & Dental College, Faisalabad Pakistandr
Rana Asrar Ahmad Khan Assistant Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
Habib Qadir Assistant Professor, Department of Surgery, Fatima Jinnah Medical University, Lahore Pakistan
Shaukat Ali Assistant Professor, Department of Surgery, Faisalabad Medical University, Faisalabad Pakistan
Samina Kausar Associate Professor, Department of Gynecology & Obs., Khawaja Muhammad Safdar Medical College, Sialkot Pakistan

DOI: https://doi.org/10.29054/apmc/2022.1419

Keywords: Ultrasound Guided Needle Aspiration, Incision and Drainage, 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.