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Related Experiment Videos

Acute puerperal breast abscesses: US-guided drainage

S Karstrup1, J Solvig, C P Nolsøe

  • 1Department of Ultrasound, Herlev Hospital, University of Copenhagen, Denmark.

Radiology
|September 1, 1993
PubMed
Summary

Ultrasonically guided percutaneous drainage offers a highly effective, minimally invasive treatment for acute puerperal breast abscesses in lactating women, with excellent outcomes and minimal recurrence.

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Innovation

Background:

  • Breast abscesses commonly affect lactating women.
  • Traditional treatment involves surgical incision and drainage under general anesthesia.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of ultrasonically guided percutaneous drainage for acute puerperal breast abscesses.

Main Methods:

  • Nineteen consecutive patients with acute puerperal breast abscesses underwent percutaneous drainage using local anesthesia, guided by ultrasound.
  • Follow-up included assessment of treatment success, recurrence, cosmetic results, and breastfeeding continuation.

Main Results:

  • A 95% success rate was achieved with percutaneous drainage.
  • No recurrences were observed during a median 12-month follow-up.

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  • Excellent cosmetic results were reported, and 42% of patients continued breastfeeding.

    • Conclusions:

    • Ultrasonically guided percutaneous drainage is a safe and effective alternative to surgery for acute puerperal breast abscesses.
    • This minimally invasive approach allows for outpatient treatment in over half of cases and supports continued breastfeeding.