A Study On Comparison Of Ultrasound Guided Aspirationversus Incision And Drainage On The Basis Of Clinical Outcomes In Breast Abscess Patients In A Tertiary Care Hospital

Abstract

This study examines the age distribution and clinical outcomes of breast abscess treatments: Surgical Incision and Drainage and Ultrasound-Guided Needle Aspiration.Sixty participants (30 per group)were analysed for demographic and clinical profiles,with age categorized into six groups.Mean age and standard deviation were calculated.Clinical parameters,including symptomatic presentation,breastfeeding status,medical history,breast involvement,pain scores(VAS),procedural duration,and post-operative outcomes,were analysed.Most participants were in the 20-29 and 30-39 age groups(n=23 each),with fewer in older categories.Group 1 had a higher proportion of participants aged 20-29,while Group 2 had more aged 30-39.Mean age was 35.23±11.39 years in Group A and 34.6±9.04 years in Group 2.Breast abscesses were most common among lactating females,with 21 in Group 1 and 19 in Group B.Pain was a universal symptom,while lump occurrence was more frequent in Group 2.Procedural duration was shorter in Group 2(00:16:26±00:01:16)versus Group 1 (01:06:24±00:07:52)(p<0.001).Pain reduction was greater in Group B post-operatively,with VAS scores decreasing from 6.7±1.01 to 0.8±0.41 at two weeks(p<0.0001).Residual lump presence was lower in Group 2(6.7%)compared to Group A(86.7%)(p<0.001).In conclusion, breast abscess prevalence is higher among younger and middle-aged lactating females. Ultrasound-guided needle aspiration shows superior outcomes in procedural efficiency,pain reduction,and lower residual lump formation,making it a promising alternative to surgical incision and drainage.