Abstract:
The conventional breast abscesses treatment is the surgical incision and drainage followed by
digital septa disruption, contents evacuation with surgical drains placements. 60 female
patients of 40 years average age with suspected breast abscesses were treated at the at the
Department of Surgery of Liaquat University of Medical & Health Sciences, Jamshoro,
Sindh, Pakistan. The minimally invasive treatment for breast abscesses was accomplished
with the help of percutaneous drainage placement and ultrasound guided fine needle
aspiration. During drainage placement, ultrasound guided fine needle aspiration was
accomplished followed by percutaneous insertion of an ordinary drainage catheter by prick
incision. They endured the forms of clinical inflammation like puerperal mastitis in 24
patients (40%), non-puerperal mastitis in 27 patients (45%) and other inflammation such as
infected seromas and folliculinids in 9 patients (15%). Overall, fibrocystic variation was
detected in 58% of the cohort (35/60). Among non-puerperal mastitis, 18/27 (67%) patients
existing fibrocystic variations, among puerperal mastitis, 4/24 (17%) patients existing
fibrocystic variations and among other patients with different inflammation forms, 5/9 (56%)
were linked with fibrocystic variations. The early complications were experienced in 12/60
(20%) patients who were treated with minimally invasive techniques. It has been confirmed
by this study that ultrasound guided fine needle aspiration minimally invasive therapy along
with antibiotic treatment can be an effective approach for the breast abscesses treatment in
the all surgical approaches and it is a safe and feasible approach in terms of the less postoperative complications and recovery time as well as hospital stay duration.