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2009 | 81 | 5 | 225-229
Tytuł artykułu

Low Invasive Treatment of Breast Abscess in Lactating Women

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
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
Wydawca

Rocznik
Tom
81
Numer
5
Strony
225-229
Opis fizyczny
Daty
wydano
2009-05-01
online
2009-09-08
Twórcy
  • 1st Department of General and Vascular Surgery, Warsaw Medical University
  • St Sophia's Hospital Lactative Out-Patient Clinic, Warsaw
  • 1st Department of General and Vascular Surgery, Warsaw Medical University
  • 1st Department of General and Vascular Surgery, Warsaw Medical University
  • 1st Department of General and Vascular Surgery, Warsaw Medical University
  • 1st Department of General and Vascular Surgery, Warsaw Medical University
Bibliografia
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  • Schwarz RJ, Shrestha R: Needle aspiration of breast abscesses. Am J Surg 2001; 182(2): 117-19.[Crossref][PubMed]
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  • 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]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-009-0034-9
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