Recurrence of breast abscess: comparison between incision drainage and aspiration

Abstract

Objectives: To compare recurrence of incision & drainage versus aspiration of breast abscess.

Methodology: Randomized Controlled Trial was conducted at department of general surgery, Nishtar Hospital, Multan from Janauary 2023 to December 2023. In group A, patients, needle aspiration was done while in Group B patients, incision & drainage was done. In both groups, patients were prescribed tab. Ciprofloxacin 500mg x BD and tab danzen DS x BD for 10 days. All procedures were performed by the researcher himself. All patients were followed for 2 weeks and recurrence (yes/no).

Results: Mean Age of patients in group A was 25.67 ± 3.61 years and in B was 25.50 ± 3.73 years. Size of abscess upto 2cm in group was found in 93.3% patients and 90% in group B. Regarding outcome variable recurrence was observed in 13.3% in group A and 36.7% of patients in group B.

Conclusion: Recurrence of breast abscess was lower in aspiration group compared with incision and drainage, hence our study results support the use of needle aspiration technique for the management breast abscess. All surgeons treating such patients should employ aspiration technique to achieve desired outcomes which will decrease burden of related morbidities and mortalities.