COMPARATIVE STUDY BETWEEN INCISION & DRAINAGE AND SONO-GUIDED ASPIRATION FOR THE MANAGEMENT OF DEEP-SEATED BREAST ABSCESS

BACKGROUND Breast abscess is a disease more of a lactating mother. Traditionally breast abscess was treated with incision and drainage which was more invasive and really painful for lactating mother. With the availability of antibiotics more conservative approach came into practice. Aspiration of deep-seated breast abscess, a less invasive procedure, has shown promising results in many studies. The aim of this study was to compare cosmetic results, recovery times, milk discharge, pain relief and recurrence rates in the management of deep-seated breast abscess with aspiration and Incision & Drainage. MATERIALS AND METHODS This non-randomised controlled trial study was performed at department of surgery, HIMSR, Jamia Hamdard, New Delhi from September 2016 to September 2018. Patients were divided into two groups. In group A, aspiration was done under sonographic guidance. In group B Incision and drainage was done. 68 patients were treated, out of which 42 patients were treated in group A and 26 patients was treated in group B. Follow up of patients was done on regular basis for 6 months (Twice a week for one month, twice a month for 2 months than every month for 3 months). RESULTS A total of 68 patients were included in the study. 88.2% patients were lactating mothers and 11.2% patients were non-lactating. Out of 68 patients 42 were treated in group A and 26 were treated in group B. In group A none had suffered from mammary fistula. In group B 7.6% patients had mammary fistula. In group A 11.9% patients had scar marks that too because of conversion to incision and drainage procedure. In group B 100% patients had scar mark. In group A 28 patients were almost pain free after 2 wks. In group B 26 patients were almost pain free after 4 weeks. CONCLUSION Aspiration under sonographic guidance is better mode of management than incision and drainage in deep seated breast abscess.