OUTCOME OF PERCUTANEOUS DRAINAGE OF BREAST ABSCESS UNDER LOCAL ANESTHESIA

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Abstract

ABSTRACT
Objective: To aspirate breast abscess through a wide bore intravenous cannula and determine its efficacy as an alternative
to surgical incision and drainage in terms of the numbers of recurrences and number of aspirations.
Material and Methods: This case series study was conducted in surgical ward Hayatabad Medical Complex Peshawar
from March 2009 to March 2011. Female patients with breast abscesses above age 12 on clinical examination confirmed
on ultrasound were subjected to aspiration under local anesthesia after written informed consent. All patients were
followed weekly for 6 weeks and assessed by history, clinical examination and ultrasound for the complete resolution
of the lesion.
Results: A total of 118 female patients with breast abscess underwent aspirations under local anesthesia. Mean age
of the patients were 30.14+1.58 and minimum age was 18 and maximum 44 years. Eighty four (71.1%) of them were
lactating. Complete resolution was seen in 74 (62.7%) patients by single aspiration, second aspiration was required
in 44 (37.2%) cases and third aspiration in 3 (2.54%) patients only. Recurrence after second aspiration occurred in 18
(15.25%) patients of them 15 (12.71%) patients needed surgical incision and drainage.
Conclusion: Percutaneous large bore needle aspiration of breast abscess with local anesthesia without ultrasound
guidance is a simple and convenient alternative to surgical incision and drainage

Authors: 
Yousaf Jan
Muhammad Shah
Shaukat Hussain
Waqas
Ahmad Din
Journal Issue: 

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