Compare the Outcome of Percutaneous Aspiration with Incision Drainage for Management of Breast Abscess

2021 ◽  
Vol 15 (8) ◽  
pp. 2480-2482
Author(s):  
Gul Lalley ◽  
Haseena Rehman ◽  
Gul Sharif ◽  
Asif Mehmood ◽  
Mohammad Shoaib Khan ◽  
...  

Objective: The aim of this study is to compare the outcome of percutaneous aspiration with incision drainage for management of breast abscess. Study Design: Comparative Study Place and Duration: The study was conducted at Surgery departments of Lady Reading hospital, Peshawar during the period of six months from August 2020 to January 2021. Methods: Total 110 women were presented in this study. Patients were aged between 20-45 years. Patients’ detailed demographics including age, weight, height and body mass index were recorded after taking informed written consent. Women had breast abscess were included. Patients were equally divided into two groups, I and II. Group I had 55 patients and received percutaneous aspiration while in group II 55 patients were underwent for incision drainage. Outcomes among both groups were compared in terms of early restoration of breast feeding, pain score by using VAS and time of healing. Complete data was analyzed by SPSS 24.0 version. Results: Mean age of the patients in group I was 30.11±8.56 years with mean BMI 26.9±3.77 kg/m2 while mean age in group II was 29.17±9.44 years with mean BMI 26.08±3.27 kg/m2. Mean weight of patients in group I was 72.19±17.44 kg and in group II mean weight was 74.35±19.78 kg. Mean height in group I was 154.12±9.55 cm and in group II was 156.08±8.71 cm. Restoration of breast feeding among group I was 47 (85.45%) and in group II 32 (58.2%) patients restored breast feeding. Satisfaction among patients in group I was higher than that of 45 (81.82%) as compared to group II 31 (56.4%). Conclusion: We concluded in this study that percutaneous aspiration in breast abscess was successful and affective as compared to incision drainage with less complications and high satisfaction rate among the women. Keywords: Breast abscess, Percutaneous aspiration, Incision drainage,

2021 ◽  
Vol 15 (8) ◽  
pp. 2157-2159
Author(s):  
Samina Karim ◽  
Farrukh Sami ◽  
Ahmad Shah

Objective: To compare the outcome of percutaneous aspiration with incision drainage for management of breast abscess. Study Design: Comparative study Place and Duration of Study: Department of Surgery Unit-1, Sandeman Provincial Hospital Quetta from 1st October 2020 to 31st March 2021. Methodology: One hundred and ten women age aged between 18-65 years of age were enrolled. Patients details demographics age, weight, height and body mass index were recorded after taking informed written consent. Women had breast abscess were included. Patients were equally divided into two groups, I and II. Group I had 55 patients and received percutaneous aspiration while in group II had 55 patients underwent for incision drainage. Results: Mean age of the patients in group I was 30.11±8.56 years with mean BMI 27.9±18.77kg/m2 while mean age in group II was29.17±9.44 years with mean BMI 28.9±55.27kg/m2. Mean weight of patients in group I was 72.19±17.44 kg and in group II mean weight was 74.35+19.78 kg. Mean height in group I was 154.12±9.55 cm and in group II was 156.08+8.71 cm. Restoration of breast feeding among group I was 47 (85.45%) and in group II 32 (58.2%) patients restored breast feeding. Satisfaction among patients in group I was higher than that of 45 (81.82%) as compared to group II, 31 (56.4%). Conclusion: Percutaneous aspiration in breast abscess was successful and affective as compared to incision drainage with less complications and high satisfaction rate among the women. Keywords: Breast abscess, percutaneous aspiration, Incision drainage


2014 ◽  
Vol 9 (3) ◽  
pp. 83
Author(s):  
Richard Hayman

A Review of: Cirasella, J., & Bowdoin, S. (2013). Just roll with it? Rolling volumes vs. discrete issues in open access library and information science journals. Journal of Librarianship and Scholarly Communication, 1(4). http://dx.doi.org/10.7710/2162-3309.1086 Abstract Objective – To understand the prevalence of, motivations for, and satisfaction with using a rolling-volume publishing model, as opposed to publishing discrete issues, across open access academic journals in library and information science. Design – A 12 question survey questionnaire. Setting – English-language, open access library and information science (LIS) journals published in the United States of America. Subjects – A total of 21 open access LIS journals identified via the Directory of Open Access Journals that were actively publishing, and that also met the authors’ standard of scholarliness, which they established by identifying a journal’s peer-review process or other evidence of rigorous review. Based on responses, 12 journals published using discrete issues, while 9 published as rolling volumes or as rolling volumes with some discrete issues. Methods – In late 2011, the study’s authors invited lead editors or primary journal contacts to complete the survey. Survey participants were asked to identify whether their journal published in discrete issues, rolling volumes, or rolling volumes with occasional discrete issues, with the latter two categories combined as one for ease of results analysis. Survey logic split respondents into two groups, either discrete-issue or rolling-volume. Respondents in both categories were posed similar sets of questions, with the key difference being that the questions directed at each category accounted for the publication model the journals themselves identified as using. Editors from both groups were asked about the reasons for using the publication model they identified for their journal: within the survey tool, authors provided 16 potential reasons for using a discrete-issue model, and 13 potential reasons for using a rolling-volume model. Respondents from both groups were asked to mark all reasons that applied for their respective journals. The survey also included questions about whether the journal had ever used the alternate publishing model, the editor’s satisfaction with their current model, and the likelihood of the journal switching to the alternate publishing model in the foreseeable future. Main Results – The authors collected complete responses from 21 of the original 29 journals invited to participate in the study, a response rate of 72%. For the 12 journals that identified as using discrete issues, ease of production workflow (91.7%), clear production deadlines (75.0%), and journal publicity and promotion (75.0%) were the three most common reasons for using a discrete-issue model. For the nine journals using rolling volumes, improved production workflow (77.8%), decreased dependence on production deadlines (77.8%), and increased speed of research dissemination (66.7%) were the three most common reasons cited for using a rolling-volume model. Findings show that overall satisfaction with a journal’s particular publication model was a common factor regardless of publishing model in use, though only the rolling-volume editors unanimously reported being very satisfied with their model. This high satisfaction rate is reflected in editors’ positions that they were very unlikely to switch away from the rolling-volume method. While a majority of editors of discrete-issue journals also reported being very satisfied or somewhat satisfied with their current model, the mixed responses to whether they would contemplate switching to the alternate model suggests that awareness of the benefits of rolling-volume publishing is increasing. Conclusion – Researchers discovered a greater incidence of rolling-volume model journals with open access LIS journals than anticipated, suggesting that this is an area where additional research is necessary. The relative newness of the rolling-volume model may be a contributing factor to the high satisfaction rate among editors of journals using this model, as journal editors are likely to be more deliberate in selecting this model over the traditional discrete-issue publishing model. Workflow and production practices were identified as key characteristics for selecting a publishing model regardless of the model selected, and therefore this is another area in need of further investigation.


2020 ◽  
Vol 73 (6) ◽  
pp. 550-556 ◽  
Author(s):  
Hesham Elsharkawy ◽  
Hassan Hamadnalla ◽  
Ece Yamak Altinpulluk ◽  
Rodney A. Gabriel

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.


2010 ◽  
Vol 138 (9-10) ◽  
pp. 546-550 ◽  
Author(s):  
Katarina Andjelkov ◽  
Marcos Sforza ◽  
Renato Zaccheddu ◽  
Goran Lazovic ◽  
Miodrag Colic

Introduction. Otoplasty or correction of prominent ears, is one of most commonly performed surgeries in plastic surgery both in children and adults. Until nowadays, there have been more than 150 techniques described, but all with certain percentage of recurrence which varies from just a few up to 24.4%. Objective. The authors present an otoplasty technique, a combination of Mustardj?s original procedure with other techniques, which they have been using successfully in their everyday surgical practice for the last 9 years. The technique is based on posterior antihelical and conchal approach. Methods. The study included 102 patients (60 males and 42 females) operated on between 1999 and 2008. The age varied between 6 and 49 years. Each procedure was tailored to the aberrant anatomy which was analyzed after examination. Indications and the operative procedure are described in stepby- step detail accompanied by drawings and photos taken during the surgery. Results. All patients had bilateral ear deformity. In all cases was performed a posterior antihelical approach. The conchal reduction was done only when necessary and also through the same incision. The follow-up was from 1 to 5 years. There were no recurrent cases. A few minor complications were presented. Postoperative care, complications and advantages compared to other techniques are discussed extensively. Conclusion. All patients showed a high satisfaction rate with the final result and there was no necessity for further surgeries. The technique described in this paper is easy to reproduce even for young surgeons.


Author(s):  
Bo Yin ◽  
Xinyu Zhang ◽  
Lei Cai ◽  
Xuefeng Han ◽  
Facheng Li

Abstract Background Face fat overfilling sometimes occurs and is very difficult to repair unfortunately. Objectives The authors report their first experience of micro-liposuction with low negative pressure combined with super-tumescence (LNPST) in a case series of 32 patients. Methods The LNPST micro liposuction was performed in 32 patients aged 22 to 41 (mean, 29.6±4.9) years with facial overfilling. Two independent plastic surgeons intraoperatively monitored and recorded discomfort and bleeding using a grading system. All patients were followed up for haematoma within 1 week postoperatively and for skin numbness and muscle paralysis at 1 week and 3 months postoperatively. In addition, 6 months postoperatively, patient satisfaction with the postoperative aesthetic effects was analysed by Face-Q. Results All patients successfully completed the operation under local anaesthesia. The intraoperative discomfort and blood-loss scores were 1.69±0.62 and 1.22±0.41, respectively. The haematoma score was 1.13±0.34 within 1 W [other scores: postoperative skin numbness (1 W: 1.96±0.62; 3 M: 1.13±0.33) and postoperative muscle paralysis (1 W: 1.22±0.51; 3 M: 1.0±0)]. Overall, neither skin necrosis nor serious complications requiring revision surgery occurred. Seventy-two percent of the patients (n = 23) answered the Face-Q questionnaire (21.8±1.7), covering satisfaction with the outcome score into a standard score (81.7±15.1, from 0 to 100), which verified the high satisfaction rate. Conclusions LNPST technology is a safe and effective method for facial-fat-overfilling repair, with less bleeding, less neuro injury, fewer complications and high patient satisfaction.


2021 ◽  
Vol 15 (8) ◽  
pp. 2525-2528
Author(s):  
Muhammad Habib Khan ◽  
Shah Hussain ◽  
Muhammad Gulzar Khan ◽  
Jamal Bahadar ◽  
Muhammad Kashif ◽  
...  

Objective: The aim of this study is to determine the efficacy of ultrasound guided fascia iliaca block for pain management compared to conventional pain killers. Study Design: Place and Duration: The study was conducted at the emergency department of Lady Reading Hospital Peshawar for duration of six months i.e June 2019 to December 2019. Methods: Total 80 patients of both genders underwent for arthroplasty were presented in this study. Patients were aged between 40-80 years. Patients detailed demographics age, sex, weight and body mass index were recorded after taking informed written consent. Patients were divided into 2-groups. Group I had 40 patients and received fascia iliaca block while group II received conventional pain killers with 40 patients. Postoperative outcomes reduction in pain score was assessed by visual analog scale (VAS). Postoperatively complications and patients satisfaction was also observed and compared among both groups. Complete data was analyzed by SPSS 26.0version. Results: There were 22 (55%) male and 18 (45%) female patients in group I while in group II male patients were 21 (52.5%) and 19 (47.5%) were females. Mean age in group I was 57.17±10.21 years with mean BMI 26.64±3.54 kg/m2 and in group II mean age was 58.25±9.66 years with mean BMI 26.48±3.45 kg/m2. 25 (62.5%) patients had ASA I and 15 (37.5%) had II in group I but in group II 24 (60%) had ASA I and 16 (40%) had II. Post-operative after 48hrs pain score in group I was 2.03±3.18 lower as compared to group II 4.08±7.81. Frequency of complications was higher in group II 23 (57.5%) as compared to group I 8 (20%). Satisfaction among patients of group I was 34 (85%) higher as compared to group II 19 (47.5%). Conclusion: We concluded in this study that the use of anesthesia fascia iliaca block was effective in terms of pain reduction and fewer complications than conventional pain killers after arthroplasty. Except this satisfaction rate was also higher among patients who received FICB. Keywords: Fascia iliaca block, Pain killer, Arthroplasty, Pain, Complications


2011 ◽  
Vol 18 (01) ◽  
pp. 18-23
Author(s):  
ALIYA ISLAM ◽  
NUSRAT AJAB KHAN ◽  
USMA NAILA

Objective: To study the causative factors responsible for avoidance of Breast Feeding in post-partum women attending the post-natal OPD in MH Rawalpindi. Design: Comparative cross sectional study. Setting: Dept of Gynae and Obstetrics, Military Hospital, Rawalpindi. Tertiary care centre from all the Pakistan dealing with other ranks of Pak Army. Duration: Nine months (From 01.01.2007 to 1.10.2007). Materials and Methods: Study was done on 1000 patients at post-natal Gynae OPD. Patients were divided into two groups of 500 each. Those patients who were exclusively breast feeding their babies were included in group-II while group-I included those patients who were not breast feeding their babies at all. Patients demographic data was entered on questionnaire and factors involved were interpreted. The most important causative factor responsible for avoidance of breast feeding in group-I were noted down. The mothers in group-II were enquired about that problem. Data was analyzed by using computer software programme SPSS version 11. Chi square test was used to see the significance of difference between group-I and group-II and results were considered significant if P value is less than 0.05. Results: The study showed that as compared to group-II causative factors involved in avoidance of breast feeding in group-I were pain at operated site 148, working women 38, Sick baby 26,Cracked nipples and mastitis 59, Breast abscess 4, Social Myths 58, Multiple Births 2, Inverted Nipples 5 and failure of proper counseling 160. Conclusions: Most of the factors responsible for avoidance of breast feeding are preventable and treatable. General population should be educated regarding the benefits of breast feeding in the mother and baby. Thus reducing mortality rate in woman and infants.


2005 ◽  
Vol 26 (9) ◽  
pp. 704-707 ◽  
Author(s):  
Kurt F. Konkel ◽  
Andrea G. Menger ◽  
Sharon A. Retzlaff

Background: The purpose of this study was to review consecutive fifth metatarsal fractures in the author's (KFK) practice from August, 1999, to November, 2003. Methods: During this period 64 patients (66 fractures; 35 tuberosity fractures, 10 Jones fractures, three stress fractures, two segmental shaft fractures and 16 oblique distal shaft/neck fractures) were treated nonoperatively. Initial treatment was started from the day of injury to as long as 8 weeks after injury. All patients were treated ambulatory with immediate weightbearing. Results: The time to bony union averaged 3.7 months. The union rate was 98.5% with a satisfaction rate of 100%. Conclusions: By using closed treatment techniques bony union was predictable with minimal cost and a high satisfaction rate. We recommend nonoperative treatment of fifth metatarsal fractures for patients in whom the time to return to full activities is not critical.


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