scholarly journals Comparative Study between Open Surgical Drainage and Closed Technique of Percutaneous Aspiration under Image Guidance for Management of Breast Abscess

2021 ◽  
pp. 1-7
Author(s):  
Chetna Dilip Rathi ◽  
Meenakshi Yeola (Pate)
Keyword(s):  
Surgical Management ◽  
Percutaneous Drainage ◽  
Breast Abscess ◽  
First Line ◽  
Percutaneous Aspiration ◽  
Incision And Drainage ◽  
Closed Technique ◽  
Maximum Fluctuation ◽  
Invasive Method ◽  
Better Than

Background: The conventional surgical management of breast abscesses consists of an incision taken over the point at which there is maximum fluctuation (or pain) and breaking of the abscess septa by digits. Now antibiotics and repeated abscess aspiration under USG guidance is new minimally invasive method which is on rise Objectives: To study the outcome of open technique of breast abscess management. To study the outcome of closed technique of breast abscess management. To compare the outcome of open v/s closed technique of surgical management of breast abscess. Methodology: Sample will be divided into two groups and type of treatment i.e open incision and drainage or percutaneous aspiration under guidance will be decided randomly by chit system. Expected Results: Feasibility and outcome of Percutaneous drainage is better than incision and drainage Conclusion: First line management of Breast abscess will soon be percutaneous drainage under USG guidance.

scholarly journals Systematic Review on Percutaneous Aspiration and Sclerotherapy versus Surgery as First-line Treatment in Symptomatic Simple Hepatic Cysts

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S168-S169
Author(s):  
A. Furumaya ◽  
B. van Rosmalen ◽  
J.J. de Graeff ◽  
M. Haring ◽  
V. de Meijer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Line Treatment ◽  
First Line ◽  
Percutaneous Aspiration ◽  
Hepatic Cysts ◽  
First Line Treatment

scholarly journals Image-guided Percutaneous Drainage in the Pediatric Population: A Primer for Radiologists

2011 ◽  
Vol 1 ◽  
pp. 31 ◽  
Author(s):  
Keerthi Arani ◽  
Kiran Nandalur ◽  
Christina M Tucker ◽  
David A Bloom
Keyword(s):  
Minimally Invasive ◽  
Patient Outcomes ◽  
Percutaneous Drainage ◽  
Pediatric Population ◽  
Infectious Complications ◽  
Image Guided ◽  
Pictorial Essay ◽  
Invasive Method ◽  
Patient Preparation ◽  
The Common

Image-guided percutaneous drainage is an excellent minimally invasive method for dealing with infectious complications in the pediatric population. A thorough understanding of drainage procedures in children can often lead to improved patient outcomes. Indications for percutaneous drainage will be reviewed, including abscesses related to appendicitis, post-surgical abscess formation, and abscesses related to Crohn's disease. This pictorial essay will help the radiologist better understand the common etiologies of abscesses in children that may require percutaneous drainage, the special considerations for catheter placement, patient preparation, and anesthesia or sedation issues unique to the pediatric population.

Radiological Management of Abdominal Abscess

1983 ◽  
Vol 76 (4) ◽  
pp. 256-261 ◽  
Author(s):  
D P Mac Erlean ◽  
R G Gibney
Keyword(s):  
Success Rate ◽  
Surgical Management ◽  
Local Anaesthesia ◽  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Abdominal Abscess

Forty-two abdominal and retroperitoneal abscesses were drained percutaneously under ultrasound guidance. A success rate of 85.7% was achieved. Subsequent surgery was required in only 5 patients. Postoperative and spontaneous abscesses did equally well. Most intra-abdominal and retroperitoneal abscesses are amenable to this form of percutaneous drainage. The procedure requires only local anaesthesia and is well tolerated. Surgical management should probably now be reserved for those cases which are considered unsuitable for percutaneous drainage or which fail to resolve following this procedure.

scholarly journals Surgery without knife: an ideal treatment for lactational breast abscess

2017 ◽  
Vol 5 (1) ◽  
pp. 261
Author(s):  
Amandeep Saharan ◽  
Satish Dalal ◽  
Mahavir Singh ◽  
Chisel Bhatia ◽  
Tulit Chhabra
Keyword(s):  
Randomized Study ◽  
Needle Aspiration ◽  
Breast Abscess ◽  
Ultrasound Guided ◽  
Incision And Drainage ◽  
Skin Changes ◽  
Lactating Mothers ◽  
Group A ◽  
Group B ◽  
Early Healing

Background: Incidence of breast abscess is 0.4 to 11% of all lactating mothers. Traditionally the treatment of breast abscess has been incision and drainage. Recently aspiration under ultrasound guidance is emerging as another treatment option and rapidly replace incision and drainageMethods: Authors carried out a prospective, randomized study involving 50 lactating women with breast abscess. In group A - 25 patients were managed by ultrasound guided needle aspiration and in group B - 25 patients were managed by incision and drainage.Results: In patients of group A, most breast abscesses resolved with one or two aspirations only, with early healing and lesser number of hospital visits as compared to patients in group B. There was no surgical scar and early resumption of breastfeeding was seen in group A.Conclusions: Ultrasound guided percutaneous aspiration is an effective modality of treatment of lactational breast abscess and it should be the first line of treatment, especially for smaller and unilocular breast abscesses while incision and drainage should be reserved for larger and multilocular abscesses with imminent skin changes.

Management of Acute Anastomotic Leaks

2021 ◽  
Author(s):  
Traci L. Hedrick ◽  
William Kane
Keyword(s):  
Anastomotic Leak ◽  
Surgical Management ◽  
Conservative Management ◽  
Percutaneous Drainage ◽  
Patient Specific ◽  
Anastomotic Leaks ◽  
Degree Of Contamination ◽  
Stoma Creation ◽  
Colorectal Stenting ◽  
Endoscopic Clipping

AbstractManagement of the acute anastomotic leak is complex and patient-specific. Clinically stable patients often benefit from a nonoperative approach utilizing antibiotics with or without percutaneous drainage. Clinically unstable patients or nonresponders to conservative management require operative intervention. Surgical management is dictated by the degree of contamination and inflammation but includes drainage with proximal diversion, anastomotic resection with end-stoma creation, or reanastomosis with proximal diversion. Newer therapies, including colorectal stenting, vacuum-assisted rectal drainage, and endoscopic clipping, have also been described.

scholarly journals Refractory Donor-Site Seroma Following DIEP Breast Reconstruction

2020 ◽  
Vol 6 ◽  
pp. 2513826X1989883
Author(s):  
Trina V. Stephens ◽  
Nancy Van Laeken ◽  
Sheina A. Macadam
Keyword(s):  
Literature Review ◽  
Breast Reconstruction ◽  
Donor Site ◽  
Diep Flap ◽  
First Line ◽  
Percutaneous Aspiration ◽  
Autologous Breast Reconstruction ◽  
History Of ◽  
Deep Inferior Epigastric Perforator ◽  
Latissimus Dorsi Flaps

Donor-site seroma formation is a complication of autologous breast reconstruction reported most commonly with the use of latissimus dorsi flaps. First-line treatment is percutaneous aspiration which leads to resolution in the majority of cases. Those that persist may progress to a chronic, refractory seroma, which can prove challenging in terms of treatment. The aim of this article is to provide an updated literature review of interventions for chronic donor-site seroma and present the case of a 65-year-old female with a recalcitrant abdominal seroma following deep inferior epigastric perforator (DIEP) flap breast reconstruction. Literature review revealed a single article that reported 2 cases of persistent donor-site seroma after DIEP flap breast reconstruction. The patient presented here underwent repeat aspiration, drain placement, and multiple surgical procedures to achieve resolution. In total, the post-reconstruction seroma history of the patient extended over approximately 14 months. We conclude with evidence-based suggestions for chronic, donor-site seroma prevention and treatment.

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