Comparison of Incision and Drainage Against Needle Aspiration for the Treatment of Breast Abscess

被引:3
|
作者
Naeem, Muhammad [1 ]
Rahimnajjad, Muhammad Kazim [2 ]
Rahimnajjad, Nasir Ali [1 ]
Ahmed, Qazi Jalaluddin [3 ]
Fazel, Pyar Ali [1 ]
Owais, Muhammad [1 ]
机构
[1] Dow Univ Hlth Sci, Dow Med Coll, Karachi, Pakistan
[2] Liaquat Natl Hosp, Karachi, Pakistan
[3] Hamdard Univ, KVSS Hosp, Dept Gen Surg, Karachi, Pakistan
关键词
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
We aim to compare the incision and drainage against ultrasound-guided aspiration for the treatment of breast abscesses. Sixty-four patients were randomly allocated to Group A (incision and drainage) and Group B (needle aspiration). Incision and drainage was done under general, whereas aspiration was done under local anesthesia with antibiotic coverage after the pus sample was taken for cultures. Time taken to resolve symptoms including point tenderness, erythema and hyperthermia, recurrence of breast abscess, and healing time was recorded. Patients were followed until 8 weeks. Culture and sensitivity of the pus were done. Data were analyzed in SPSS 16.0. The mean difference of healing time was significant (P = 0.001). A total of 93.3 per cent were healed in Group B and 76.6 per cent in Group A (P = 0.033). Twenty-two samples (34.37%) had no bacterial yield and the remaining 42 samples (65.6%) yielded 11 anaerobic cultures (17.18%) and 31 aerobic cultures (48.4%). Ultrasound-guided aspiration of breast abscesses with the judicious use of antibiotics is a better treatment modality than incision and drainage.
引用
收藏
页码:1224 / 1227
页数:4
相关论文
共 50 条
  • [1] Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess
    Chang, Brent A.
    Thamboo, Andrew
    Burton, Martin J.
    Diamond, Chris
    Nunez, Desmond A.
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (12):
  • [2] PERITONSILLAR ABSCESS: COMPARISON OF OUTCOME OF INCISION AND DRAINAGE VERSUS NEEDLE ASPIRATION
    Khan, Muhammad Ismail
    Iqbal, Kamran
    Marwat, Muhammad
    GOMAL JOURNAL OF MEDICAL SCIENCES, 2012, 10 (02): : 205 - 208
  • [3] The effectiveness of needle aspiration versus traditional incision and drainage in the treatment of breast abscess: a meta-analysis
    Zhou, Fei
    Li, Zhaohui
    Liu, Liyuan
    Wang, Fei
    Yu, Lixiang
    Xiang, Yujuan
    Zheng, Chao
    Huang, Shuya
    Yu, Zhigang
    ANNALS OF MEDICINE, 2023, 55 (01)
  • [4] Comparison of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of peritonsillar abscess
    Mansour, C.
    De Bonnecaze, G.
    Mouchon, E.
    Gallini, A.
    Vergez, S.
    Serrano, E.
    EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2019, 276 (09) : 2595 - 2601
  • [5] Comparison of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of peritonsillar abscess
    C. Mansour
    G. De Bonnecaze
    E. Mouchon
    A. Gallini
    S. Vergez
    E. Serrano
    European Archives of Oto-Rhino-Laryngology, 2019, 276 : 2595 - 2601
  • [6] PERITONSILLAR ABSCESS - REPEATED NEEDLE ASPIRATION VERSUS INCISION AND DRAINAGE
    WOLF, M
    EVENCHEN, I
    KRONENBERG, J
    ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1994, 103 (07): : 554 - 557
  • [7] TO COMPARE THE EFFECTIVENESS OF CONVENTIONAL INCISION AND DRAINAGE VERSES USG GUIDED PERCUTANEOUS NEEDLE ASPIRATION IN TREATMENT OF BREAST ABSCESS
    Patil, Shanta B.
    Vagger, Vajreshwari M.
    JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2019, 8 (17): : 1358 - 1361
  • [8] Needle aspiration versus incision and drainage under local anaesthesia for the treatment of peritonsillar abscess
    Luo, Meng-Si
    Huang, Guan-Jiang
    EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2020, 277 (02) : 645 - 646
  • [9] Peritonsillar Abscess Treatment under Local Anaesthesia: Incision and Drainage versus Needle Aspiration
    Nagra, Sajid Rashid
    Khan, Ghulam Dastgir
    Ahmed, Salman Aftab
    Rashid, Saleha
    Malik, Anam
    Rashid, Saad
    PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES, 2021, 15 (11): : 2982 - 2984
  • [10] Needle aspiration versus incision and drainage under local anaesthesia for the treatment of peritonsillar abscess
    Meng-Si Luo
    Guan-Jiang Huang
    European Archives of Oto-Rhino-Laryngology, 2020, 277 : 645 - 646