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Comparative Study | Surgery | Volume 15 Issue 5, May 2026 | Pages: 1462 - 1465 | India
A Comparative Study of Conventional Incision and Drainage Versus Ultrasound Guided Minimally Invasive Technique in Management of Breast Abscess
Abstract: Background: Breast abscess is a common surgical condition, particularly among lactating women, and often develops as a complication of mastitis. Conventional incision and drainage (I&D) has long been considered the standard treatment; however, it is associated with prolonged healing time, pain, repeated dressings, interruption of breastfeeding, and unsatisfactory cosmetic outcomes. Ultrasound-guided needle aspiration has emerged as a minimally invasive alternative with potentially superior functional and cosmetic results. Aim: To compare the efficacy of ultrasound-guided needle aspiration with conventional incision and drainage in the management of breast abscess. Materials and Methods: This prospective randomized comparative study was conducted in the Department of General Surgery at Saraswathi Institute of Medical Sciences, Hapur. Fifty patients diagnosed with breast abscess were included and randomly divided into two groups of 25 each. Group A underwent conventional incision and drainage, while Group B underwent ultrasound-guided needle aspiration/re-aspiration under antibiotic coverage. Patients were evaluated for residual abscess, recurrence, healing time, resumption of lactation, and cosmetic outcome. Results: Patients managed with ultrasound-guided needle aspiration demonstrated significantly faster healing, lower recurrence rate, fewer residual abscesses, and improved cosmetic outcomes compared to the incision and drainage group. Lactating mothers treated with ultrasound-guided aspiration showed better continuation and resumption of breastfeeding. Conclusion: Ultrasound-guided needle aspiration is a safe, effective, and minimally invasive technique for the management of breast abscess. It provides faster recovery, reduced recurrence, improved cosmetic results, and better preservation of breastfeeding compared to conventional incision and drainage.
Keywords: Breast abscess, Ultrasound-guided aspiration, Incision and drainage, Lactational abscess, Minimally invasive surgery
How to Cite?: Dr. Shashwati Dixit, Dr. Amit Agarwal, "A Comparative Study of Conventional Incision and Drainage Versus Ultrasound Guided Minimally Invasive Technique in Management of Breast Abscess", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1462-1465, https://www.ijsr.net/getabstract.php?paperid=SR26518214949, DOI: https://dx.dx.doi.org/10.21275/SR26518214949