Acta Biomedica Scientia

A PROSPECTIVE STUDY ON COMPARISON OF OUTCOME OF CLOSED AND OPEN DRAINAGE OF BREAST ABSCESS

Prabhu Gunasekaran, Parthiban Nagaraj and Jasmeen Vajir Shaikh

jaipharma2007@gmail.com

Breast Abscess, Therapeutic Benefits, Prevalence, Prospective Study

Breast abscess is an acute inflammatory process resulting in the formation and collection of pus under the skin in breast tissue. Typically, there is painful erythematous mass formation in the breast occasionally with draining through the overlying skin of nipple duct opening. Breast abscess if not treated in time and in proper way, can result in deformation of breast which ultimately can result in loss of self-esteem of the female who suffers from abscess. A breast abscess is a localized collection of pus in the breast; usually occur in breastfeeding woman due to trauma and mastitis. Breast abscesses are most common in young lactating women. The incidence of abscesses in young women during their lactational period ranges from 0.4 to 11%. Mostly researchers reported Staphylococcus aureus is among the common cause for the infection. For the treatment of the breast abscess, options include open incision and drainage, incision and drainage with negative suction drain. Surgical incision and drainage are usually carried out under a general anaesthesia, is a traditional method of treatment. Breaking down any loculi and draining the pus material from the cavity by incision of the swelling is the most common method which follows the irrigation of cavity and either left open and packed with gauze or approximated around a drain. Present study was aimed to compare outcome of closed and open drainage of breast abscess. In the study of open and closed drainage of breast abscess of 60 patients conducted in AarupadaiVeedu Medical College & Hospital showed most commen in age group affected is 21-32 years of age. Right side of affected in 55% of patients. All patients complaint of swelling, pain and all and showed signs of inflammation. Closed drainage is effective alternative method of treatment to incision and drainage in properly selected patients. Conventional incision and drainage of breast abscess leads to more pain, delayed healing and prolonged cessation of breast feeding. As the condition occurs in young women, scar is a major concern in comparison the approach of closed drainage which leaves behind a better scar, breast feeding is started very early and breast ragainsit suppleness very fast. Furthermore Post-operative pain, Scar formation, Residual abscess, Secondary infection, time for complete healing and hospital stray is better with closed drainage of breast abscess.