Modified techniques versus Hadfield's procedure in patients with periductal mastitis.

Area of Science:

• Surgical Oncology
• Breast Surgery
• Inflammatory Breast Disease

Background:

• Periductal mastitis (PM) is a rare chronic inflammation of mammary ducts.
• The Hadfield procedure, involving complete duct removal, has associated risks.
• Evaluating modified surgical techniques for PM treatment is necessary.

Purpose of the Study:

• To assess the effectiveness of modified surgical techniques for periductal mastitis.
• To compare complication rates and patient satisfaction between different surgical approaches.

Main Methods:

• Retrospective analysis of 20 women with PM treated between 2012-2019.
• Surgical procedures included Hadfield's operation (periareolar incision), periareolar combined radial incision, and round block incision.
• Patient data on PM type, surgical approach, complications, and follow-up were analyzed.

Main Results:

• Hadfield's procedure resulted in nipple retraction, seroma, and hematoma.
• The periareolar combined radial incision group had one case of seroma.
• The round block method had no complications and higher nipple appearance satisfaction; two relapses occurred in the Hadfield group.

Conclusions:

• Surgical excision with clear margins is key for PM treatment.
• Round block and periareolar combined radial incision techniques are viable alternatives to the Hadfield procedure.
• Modified techniques may improve outcomes and patient satisfaction in PM management.