Vacuum suction drainage Vs Ultrasound-guided needle aspirati
The study result shows that vacuum suction drainage is the more efficacious method for achieving resolution of lactational breast abscess.

Lactational breast abscess results from inadequate or partially treated mastitis. Recently, needle aspiration or catheter suction drainage is being adopted in place of incision and drainage. They planned to evaluate the effectiveness of needle aspiration versus vacuum suction drainage in the resolution of puerperal breast abscess.

112 mothers with lactational breast abscesses were randomized to either ultrasound-guided needle aspiration or vacuum suction drainage. These patients were followed up on alternate days and assessed for complete resolution of breast abscess, pain in the breast on Visual Analog Scale (VAS) of 0–10, day of return to normal breastfeeding, number of aspirations needed, recurrence of abscess, and total cost of care.

- In the suction drain group, 98% of mothers enjoyed complete resolution within 10 days as compared to 87% of mothers treated with needle aspiration.

- Mean VAS at first follow-up was 2.89 in the aspiration group and 2.62 in the suction group. The VAS reduced to 0.74 in the aspiration group and 0.53 in the suction drainage group, at the last follow-up.

- The mean day of recovery was 7 days for aspiration and 5.73 days for suction. Most patients required 3 aspirations. The mean drainage time was 4.5 days.

Conclusively, vacuum suction drainage is the more effective method for achieving the resolution of lactational breast abscesses and offers greater patient satisfaction compared to needle aspiration.

Indian Journal of Surgery
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