Low Invasive Treatment of Breast Abscess in Lactating Women

• Authors: Maciej Kielar , Katarzyna Raczek-Pakuła , Jacek Waligóra , Andrzej Lewczuk , Witold Woźniak , Izabela Taranta
• Languages of publication: EN

Abstracts

EN

The aim of the study was to present our own results of low-invasive treatment of breast abscess in lactating women.Material and methods. 72 lactating women with severe mastitis were treated. In 22 cases abscess formations were observed, accompanied by local pain, tenderness, breast asymmetry and skin reddening. Ultrasonographic examinations confirmed the presence of typical image of an abscess, from 3.3 to 8.2 cm in diameter.The proposed procedure consisted in abscess aspiration biopsy guided by ultrasonography. A soft 1.5mm latex catheter was inserted into the abscess, and antiseptic lavage was made to evacuate puss. Medical control was performed on the second, fourth and seventh days after the procedure. The drain was usually removed after four or seven days.Results. In 21 cases the abscesses were healed without complications. During the treatment women fed their babies with the breast under treatment. No milk retention was noted, and there were no problems with breast-feeding.All the women highly appreciated aesthetic effect of the treatment - three months later no visible scars or breast deformations were noted.This treatment failed in one case, then we had to perform more aggressive surgical treatment: an incision and drainage performed under general anesthesia with farmacological suppression of lactation.Conclusions. 1. Low invasive treatment of breast abscess in lactating women can lead to successful treatment without drug-induced blockade of lactation. 2. The results of treatment and visual effects are very good. 3. This method are comfortable for the patients, the suckling babies (there no significant problems during twelve days cure), and can reduce the cost of treatment

Keywords

EN

breast abscess; low-invasive treatment; lactating women

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2009
• Volume: 81
• Issue: 5
• Pages: 225-229

Dates

published

1 - 5 - 2009

online

8 - 9 - 2009

Contributors

author

Maciej Kielar

• 1st Department of General and Vascular Surgery, Warsaw Medical University

author

Katarzyna Raczek-Pakuła

• St Sophia's Hospital Lactative Out-Patient Clinic, Warsaw

author

Jacek Waligóra

• 1st Department of General and Vascular Surgery, Warsaw Medical University

author

Andrzej Lewczuk

• 1st Department of General and Vascular Surgery, Warsaw Medical University

author

Witold Woźniak

• 1st Department of General and Vascular Surgery, Warsaw Medical University

author

Izabela Taranta

• 1st Department of General and Vascular Surgery, Warsaw Medical University

References

• Dener C, Inan A: Breast abscesses in lactating women. World J Surg 2003; 27(2): 130-33.[PubMed]
• Makanjuola D: A clinico-radiological correlation of breast diseases during lactation and the significance of unilateral failure of lactation. West Afr J Med 1998; 17(4): 217-23.[PubMed]
• Helene BC: Leczenie ostrego połogowego zapalenia piersi i ropnia piersi. Can Fam Physician 1988; 34: 2221-27.
• Hillenbrand KM: Effect of an educational intervention about breastfeeding on the knowledge, confidence, and behaviors of pediatric resident physicians. Pediatrics 2002; 110(5): 59.[Crossref]
• Silverman JF: Fine-needle aspiration cytology of a subareolar abscess of the male breast. Diagn Cytopathol 1998; 18(6): 441-44.[PubMed][Crossref]
• Dufour P, et al.: Community-acquired methicillinresistant Staphylococcus aureus infections in France: emergence of a single clone that produces Panton-Valentine leukocidin. Clin Infect Dis 2002; 7: 819-24.[Crossref]
• Chagla AH: Breast abscess associated with Helcococcus kunzii. J Clin Microbiol 1998; 36(8): 2377-79.[PubMed]
• Marchant DJ: Inflammation of the breast. Obstet Gynecol Clin North Am 2002; 29(1): 89-102.[Crossref][PubMed]
• Tan SM, Low SC: Non-operative treatment of breast abscesses. Aust NZJ Surg 1998; 68(6): 423-24.
• Imperiale A: Abscesses of the breast. US-guided serial percutaneous aspiration and local antibiotic therapy after unsuccessful systemic antibiotic therapy. Acta Radiol 2001; 42(2): 161-65.[PubMed]
• Castro M: Homeopathy. A theoretical framework and clinical application. J Nurse Midwifery 1999; 44(3): 280-90.[PubMed][Crossref]
• Adamthwaite DN: Non-operative treatment of breast abscesses: comment. Aust NZJ Surg 1999; 69(4); 316.
• Schwarz RJ, Shrestha R: Needle aspiration of breast abscesses. Am J Surg 2001; 182(2): 117-19.[Crossref][PubMed]
• Hook GW, Ikeda DM: Treatment of breast abscesses with US-guided percutaneous needle drainage without indwelling catheter placement. Radiology 1999; 213(2): 579-82.[Crossref][PubMed]
• Staren ED, O'Neill TP: Ultrasound-guided needle biopsy of the breast. Surgery 1999; 126(4): 629-34.[PubMed][Crossref]
• Berná-Serna JD, Berná-Mestre JD, Galindo PJ, et al.: Use of urokinase in percutaneous drainage of large breast abscesses. Ultrasound Med 2009; 28(4): 449-54.
• Eryilmaz R, Sahin M, Hakan Tekelioglu M, et al.: Management of lactational breast abscesses. Breast 2005; 14(5): 375-79.[Crossref]
• Amir L: Breastfeeding and Staphylococcus aureus: three case reports. Breastfeed Rev 2002; 10(1): 15-18.[PubMed]
• Singla SL: Evaluation of the role of antibiotics in the surgical management of breast abscess. Trop Doct 2002; 32(3): 165-66.[PubMed]
• Schouten WE: Cryptococcal breast abscess. Scand J Infect Dis 2002; 34(4): 309-10.[PubMed][Crossref]
• McFarlane ME: Benign breast diseases in an Afro-Caribbean population. East Afr Med J 2001; 78(7): 358-59.
• Goldberg J: Granulomatous mastitis in pregnancy. Obstet Gynecol 2000; 96(5 Pt 2), 813-15.[PubMed][Crossref]
• Gunhan-Bilgen I: Male breast disease: clinical, mammographic, and ultrasonographic features. Eur J Radiol 2002; 43(3): 246-55.[Crossref]
• Tiu CM: Sonographic features of breast abscesses with emphasis on "hypoechoic rim" sign.; Ultrasound Med 2001; 64(3); 153-60.
• Kronemer KA: Gray scale sonography of breast masses in adolescent girls. J Ultrasound Med 2001; 20(5): 491-96.[PubMed]
• Nguyen SL: Interstitial fluid and hypoechoic wall: two sonographic signs of breast abscess. J Clin Ultrasound 2000; 28(7): 319-24.[PubMed][Crossref]
• Blaivas M: Ultrasound-guided breast abscess aspiration in a difficult case. Acad Emerg Med 2001; 8(4): 398-401.[Crossref]

Identifiers

DOI

10.2478/v10035-009-0034-9