Ultrasound-guided percutaneous drainage as an alternative to surgery in treating breast abscesses

Year 2019, Volume: 5 Issue: 5, 809 - 815, 04.09.2019

Rukan Karaca , Uğur Topal Ömer Fatih Nas , Gökhan Gökalp , İsmet Taşdelen Halit Ziya Dündar

https://doi.org/10.18621/eurj.421325

Abstract

Objectives:
The aim of this study was to assess whether ultrasound-guided (US-guided)
percutaneous drainage of breast abscesses could be used as an alternative to
surgery.

Methods: We performed a retrospective study.
Twenty patients were included in the study who were diagnosed as having a
non-specific breast abscess. Eleven patients underwent surgery whereas nine
patients were treated with US-guided drainage. Ultrasonographic findings,
results of treatment and follow-up were evaluated between the two groups.

Results: In the US-guided drainage group, 5
patients were treated with needle aspiration and 4 were treated with catheter
drainage. All cases within the needle aspiration group totally recovered.
However, one case within the catheter drainage group failed. The total success
rate of US-guided drainage was 88.8%. The median follow-up period was 21.0 days
in the US-guided drainage group and 45.0 days in the surgical drainage group.
There were no statistically significant differences in terms of recovery (p = 0.450) and follow-up periods (p = 0.112) between the surgical drainage
and US-guided drainage groups.

Conclusions: US-guided percutaneous drainage may
be preferred as a first method of choice in treatment of a breast abscess. The
most appropriate approach to breast abscess treatment will be possible with a
multidisciplinary approach of surgery and radiology.

Keywords

Breast abscess, percutaneous drainage, US-guided drainage

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