Acta Biomedica Scientia

TO STUDY THE ULTRASOUND-GUIDED PERCUTANEOUS ASPIRATION IN LACTATIONAL BREAST ABSCESSES IN SOUTH INDIAN STUDY

Balaji Y

drpebyreddy@yahoo.com

Abscess, benign, breast, needle aspiration, ultrasound-guided, Aspiration, Breast, Fistula, Percutaneous

Breast abscess is a common cause of morbidity in women. While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries. The following were the aims and objective of this study. 1. To establish the role of ultrasound-guided percutaneous aspiration of breast abscess as a treatment modality in lactational breast abscess, To establish role of ultrasound as a diagnostic modality in localization of residual lactational breast abscess and to formulate the outcome of intervention/procedure after overall outcome of the present study. The present, observational study was conducted on 30 patients with clinically diagnosis of lactation breast abscess in the Postgraduate Department of Surgery, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry. Needle aspiration is simple to carry out and is well tolerated by patients. Patients do not require hospitalization, and clinical improvement is rapid. In the present study in every case, ultrasound imaging revealed the fluid collection. The percutaneous procedures used in the treatment of breast abscesses do not produce any cosmetic alterations, and the results obtained are satisfactory. There is no need for general anesthesia or operation, and no in-hospital stay, and postoperative dressings and discomfort after aspiration therapy are minimal. There is also a low occurrence of the troublesome milk fistulae that often follows incision and drainage. This technique should become the standard of practice in the management of breast abscesses. US-guided needle aspiration is a minimally invasive therapy in combination with antibiotics is found to successfully treat most breast abscesses. Advantages of ultrasoundguided aspiration: The results indicate several advantages associated with ultrasound-guided aspiration, including shorter healing times, lower rates of residual abscesses, no recurrence after two weeks, higher rates of lactation resumption, and minimal scarring. These findings suggest that ultrasound-guided aspiration may offer superior outcomes compared to the traditional incision and drainage approach. Clinical implications: The study underscores the clinical implications of adopting ultrasound-guided aspiration as a minimally invasive and effective method for managing breast abscesses