Conventional Surgical Drainage versus Surgical Percutaneous Tube Drainage with Saline Irrigation for Breast Abscess

Allam, Ahmed K.; Saleh, Gamal; Khalifa, Abd Elazem R.; Gamal, Amr

doi:10.21608/bmfj.2025.388128.2435

Conventional Surgical Drainage versus Surgical Percutaneous Tube Drainage with Saline Irrigation for Breast Abscess

Document Type : Original Article

Authors

¹ Assistant Professor of General & Vascular Surgery, Faculty of Medicine, Benha University

² Professor of General Surgery Faculty of Medicine, Benha University

³ M.B.B.Ch, Faculty of Medicine, Benha University

⁴ Lecturer of General Surgery, Faculty of Medicine, Benha University

10.21608/bmfj.2025.388128.2435

Abstract

Background: Managing breast abscesses poses clinical challenges, prompting a spectrum of treatment options. aimed to evaluate and compare the efficacy, complications and overall outcomes between the invasive technique of conventional incision and drainage (I&D) and the minimally invasive procedure involving percutaneous drain placement in the management of breast abscesses. Methods: This prospective randomized comparative study was carried out on 52 participants recruited from surgery department at Benha University hospital and Benha Teaching hospital. The patient was divided into 2 equal groups: Group A: patients underwent for percutaneous placement of two tubes drain and irrigation by saline as a breast access management. Group B: patients underwent for I&D as breast access management. Results: In group B, there were significantly higher compared to group A regarding hospital stay (P<0.001). Minimal scar formation was significantly lower in group B compared to group A while ugly scar was significantly lower in group A compared to group B(P<0.001). Continuation of breast feeding was significantly higher in group A compared to group B (P= 0.002). Moreover, healing time was significantly faster in group A compared to group B (P< 0.001). The recurrence rate was insignificantly different between both groups; however, it was lower in group A compared to group B. Group A showed significantly better cosmetic satisfaction compared to group B (P=0.022). Conclusion: Percutaneous Tube Drainage with Saline Irrigation could be an effective alternative to incision and surgical drainage in selected cases with acceptable success rate, less healing time, less post intervention pain, better cosmetic outcome.

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