Breast abscess Surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

The first line of breast abscess treatment is ultrasound guided needle aspiration and surgical drainage of the abscess.^[1]

Surgery

Aspiration

Needle aspiration is used particularly in the small and medium-sized abscesses. It can be US-guided aspiration or without the US. Local anesthesia is required in order to reduce the pain of the abscess location. It is preferred in case the breast skin is not affected with the abscess. This process is preferably done two or three times to ensure that the abscess location is completely clean from all the pus.

Surgical drainage

If the abscess is non-responsive to the needle aspiration then surgical drainage is the best line of treatment in this case. If there is no response to the surgical drainage then the last line of treatment is to do excision to the lactiferous duct of the affected breast.^[2]

Abscess surgical drainage is the best line of treatment in these cases:

The skin is included in the abscess.
Unresponsive abscess to medical therapy or the aspiration.
Large abscess.

Video explaining how the breast abscess is drained: {{#ev:youtube|sdOhaBlu13I}}

References

↑ Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL; et al. (2014). “Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America”. Clin Infect Dis. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.
↑ Trop I, Dugas A, David J, El Khoury M, Boileau JF, Larouche N; et al. (2011). “Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up”. Radiographics. 31 (6): 1683–99. doi:10.1148/rg.316115521. PMID 21997989.

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[pmid24947530-1] Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL; et al. (2014). “Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America”. Clin Infect Dis. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.

[pmid21997989-2] Trop I, Dugas A, David J, El Khoury M, Boileau JF, Larouche N; et al. (2011). “Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up”. Radiographics. 31 (6): 1683–99. doi:10.1148/rg.316115521. PMID 21997989.

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