Vol. 4, Issue 10 (2015)

Background and Objectives: The objective of this study is to conduct a comparative analysis of post-operative pain, residual abscess, and percutaneous suction drainage techniques in the treatment of breast abscesses. The duration of hospitalization. Duration required for complete recuperation, manifestation of a scar. The conventional method of incision and drainage for breast abscess has undergone a steady transition from invasive to minimally invasive techniques, with the inclusion of percutaneous placement of a suction drain as a viable alternative.

Material and Methods: In the context of a prospective trial A total of 70 patients were admitted to the Department of General Surgery, Madha Medical College and Research Institute, Chennai, Tamil Nadu, India, over the period spanning from September 2014 to August 2015. A total of 70 individuals diagnosed with puerperal breast abscess were included in the study. 60 patients underwent intravenous (I&D) procedures, while an additional 40 patients underwent percutaneous suction drain insertion.

Results: All patients who underwent percutaneous drain implantation (VAS G1 and G2) reported minimal post-operative pain (G4 and G5) in comparison to the I and D groups. Residual abscesses were observed in two cases within the PDP group, as well as in one instance each within the I and D groups. These abscesses were managed by the methods of incision and drainage. The mean duration of hospitalization in the I and D cohorts was 4-6 days, but in the PDP cohort, it was 4-6 days. The duration of complete healing was found to be 4.2+1.2 weeks for patients I and D, and 1.7+0.5 weeks for patients with PDP. Unlike individuals who received the standard treatment, patients who underwent PDP exhibited a diminutive and unattractive scar at the points of entry and exit.

Conclusion: When compared to the conventional method, the percutaneous insertion of a suction drain in a puerperal breast abscess exhibits reduced invasiveness, increased likelihood of rapid resolution, diminished scarring after healing, and a decreased risk of sequelae.