COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY OPEN DRAINAGE WITH PRIMARY SUTURING WITH NEGATIVE SUCTION DRAIN AND CONVENTIONAL INCISION AND DRAINAGE

Dr Ankit Chorma; Dr Sudharshan Odiya; Dr Hiteshwari Baghel; Dr. Rajkumar Mathur; Dr Vibhav Soni

Volume : IX, Issue : V, May - 2020

COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY OPEN DRAINAGE WITH PRIMARY SUTURING WITH NEGATIVE SUCTION DRAIN AND CONVENTIONAL INCISION AND DRAINAGE

Dr Ankit Chorma, Dr Sudharshan Odiya, Dr Hiteshwari Baghel, Dr. Rajkumar Mathur, Dr Vibhav Soni

Abstract :

Purpose :– My purpose of study to use of compare drainage method use in east abscess management and reduce postoperative complication to patients. Introduction :– Breast infections are a common problem in lactating women, with manifestations that range from mastitis to abscess formation. A east abscess is defined as a localized infection with accumulation of fluid in the east tissue. Breast abscess is one of the commonest forms of abscess surgical emergencies usually seen in lactating woman. Breast infections are divided into lactational and non–lactational infections. Material and Method:– Sample size was 100 patients of age ranged from 18 to 35 years, which was divided in two groups of 50 patients in each group. This was divided in two groups of 50 patients each. First group was treated by incision and drainage and second by open drainage with primary suturing with negative suction drain, selection of patients was on alternate basis. Informed consent was taken from each patient before procedure. In suction drain placement procedure under short general anesthesia,16 F suction catheter was placed percutaneous in abscess cavity after ack down of all loci by incisional side and was closed by primary suturing Result – Incision and drainage with primary closure with negative suction drainage technique Highest percentage of patients were doing east feeding , lowest percentage of scar formation seen in primary suturing and negative suction drainage . patients treated with primary suturing and negative suction drainage were discharged next day while , with I & D discharged after 3 days , minimum percentage of recurrence seen with this method , Mean resolution time of drain placement is less as compare to I & D . Conclusion:– Incision and drainage with primary closure with negative suction drainage technique was associated with faster wound healing, less postoperative pain, less hospital stay, low cost of treatment, and low recurrence rate than conventional incision and drainage. Primary closure with negative suction drain is a better technique .