Comprehensive Trial Comparing the Placement of a Suction Drain Percutaneously to Conventional Incision and Drainage in Case of Breast Abscess
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 2592-2597
AbstractBackground: To compare post-operative discomfort, residual abscess, and percutaneous suction drainage methods for treating breast abscesses. Length of stay in the hospital, Time needed for full recovery, appearance of a scar. The traditional approach of breast abscess incision and drainage has gradually changed from invasive to minimally invasive approach, using percutaneous placement of a suction drain as an option.
Material and Methods: For prospective trial from June 2021 to July 2022, 60 patients were admitted to the Ayaan Institute of Medical Sciences in Moinabad, Telangana, India. Total 60 patients with a primary diagnosis of puerperal breast abscess were enrolled. Thirty patients received I&D, and another thirty underwent percutaneous suction drain insertion.
Results: Compared to the I and D group, all patients who had percutaneous drain placement (VAS G1 and G2) experienced very little post-operative pain (G4 and G5). Two cases in the PDP group and one instance in the I and D groups had residual abscesses that were treated with incision and drainage. The average hospital stay in the I and D groups was 4-6 days, while it was 4-6 days in the PDP group. Complete healing took 4.2+1.2 weeks for I and D patients and 1.7+0.5 weeks for PDP patients. In contrast to patients who had the usual procedure, patients who underwent PDP had a small, unsightly scar at the entry and exit sites.
Conclusion: In comparison to the typical approach, percutaneous implantation of a suction drain in a puerperal breast abscess is less intrusive (painful), more likely to resolve quickly, heal with less scarring, and has a lower risk of complications.
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