A Comparative Analysis Of Aspiration And Incision And Drainage Techniques For Breast Abscess Management A Randomized Controlled Trial

Original Article

Abstract

Objectives: To conduct a comparative analysis of the outcomes associated with needle aspiration and surgical incision and drainage of breast abscess.
Study Design: A Randomized controlled trial.
Place and duration of study: The present investigation was carried out at the Department of Surgery, Services Institute of Medical Sciences, Lahore, spanning a duration of six months from July 2020 to January 2021.
Methods: The research comprised a cohort of 60 female patients, aged 18 to 65 years, who presented with unilateral breast abscess. These patients were separated into two equal groups, each consisting of 30 individuals. The female participants in Group-NA had ultrasonic-guided needle aspiration, while the female participants in Group-I&D underwent incision and drainage of the breast abscess. The main variables assessed in this study were the duration of the surgery and the length of hospitalization for both groups.

Results: The age range in this research was 25–58 years old, with a mean±SD of 39.93±13.97 years. GroupNA had an abscess of 7.2±1.71 cm, while Group-I&D had an abscess measuring 6.96±1.56 cm. The study’s major findings indicate that Group-N A needed considerably less time for the surgery (7.2±1.54 Vs 19.96±2.77 minutes, p=0.000) than Group-I&D. Similarly, Group-NA’s mean hospital stay length was considerably shorter than Group-I&D’s (1.63 ± 1.06 Vs. 3.23 ± 1.38 days, p=0.000).
Conclusion: The main benefits of needle aspiration over incision and drainage procedures for female patients with breast abscesses include shorter operation times and shorter hospital stays.
Keywords: Breast abscess, Incision & Drainage, Needle aspiration.