PMID- 37229045
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230528
IS  - 2049-0801 (Print)
IS  - 2049-0801 (Electronic)
IS  - 2049-0801 (Linking)
VI  - 85
IP  - 5
DP  - 2023 May
TI  - A comparison of the outcomes of a novel technique of Mini-Incision and 
      Self-Express (MISE) for breast abscess with the conventional techniques: a 
      retrospective comparative cohort study.
PG  - 1546-1549
LID - 10.1097/MS9.0000000000000658 [doi]
AB  - Conventional techniques for treatment of breast abscess, such as incision and 
      drainage (I&D) and needle aspiration, have disadvantages. The authors aimed to 
      compare the outcomes of a novel technique of bedside mini-incision and 
      self-express (MISE) for breast abscess with the conventional techniques. METHODS: 
      Patients with a pathologically confirmed breast abscess were retrospectively 
      identified. Patients with mastitis, granulomatous mastitis, breast fillers with 
      infection, ruptured abscess prior to intervention, other interventions or 
      bilateral breast infection were excluded. Data collected included patient 
      demographics, radiological features such as size and number of abscess, treatment 
      modality, microbiological results and clinical outcomes. These outcomes were then 
      compared between the patients with MISE, I&D and needle aspiration. RESULTS: 
      Twenty-one patients were included. The mean age was 31.5 years old (range: 
      18-48). Mean abscess size was 57.4 mm (range: 24-126). 5 (23.8%), 11 (52.4%) and 
      5 (23.8%) had MISE, needle aspiration and I&D, respectively. Average duration of 
      antibiotics was 1.8, 3.9 and 2.6 weeks for MISE, needle aspiration and I&D 
      groups, respectively, which was statistically significant after adjusting for 
      confounders (P=0.024). Mean duration of recovery was 2.8, 7.8 and 6.2 weeks for 
      the MISE, needle aspiration and I&D groups, respectively (P=0.027), after 
      adjusting for confounders. CONCLUSION: MISE, in suitable patients, results in 
      shorter recovery time and lesser antibiotics usage, compared with the 
      conventional techniques.
CI  - Copyright (c) 2023 the Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Chan, Xiang Ting
AU  - Chan XT
AD  - Department of Biological Sciences, National University of Singapore.
FAU - Allen, John Carson
AU  - Allen JC
AUID- ORCID: 0000-0003-4570-109X
AD  - Duke-NUS Medical School.
FAU - Gudi, Mihir
AU  - Gudi M
AUID- ORCID: 0000-0002-8078-1630
AD  - Departments of Pathology and Laboratory Medicine.
FAU - Lim, Geok Hoon
AU  - Lim GH
AUID- ORCID: 0000-0002-5296-3437
AD  - Duke-NUS Medical School.
AD  - Breast, KK Women's and Children's Hospital, Singapore.
LA  - eng
PT  - Journal Article
DEP - 20230414
PL  - England
TA  - Ann Med Surg (Lond)
JT  - Annals of medicine and surgery (2012)
JID - 101616869
PMC - PMC10205390
OTO - NOTNLM
OT  - Incision and drainage
OT  - breast abscess
OT  - lactation
OT  - needle aspiration
COIS- The authors have no conflicts of interest to declare.
EDAT- 2023/05/25 19:12
MHDA- 2023/05/25 19:13
PMCR- 2023/04/14
CRDT- 2023/05/25 14:18
PHST- 2023/01/17 00:00 [received]
PHST- 2023/04/02 00:00 [accepted]
PHST- 2023/05/25 19:13 [medline]
PHST- 2023/05/25 19:12 [pubmed]
PHST- 2023/05/25 14:18 [entrez]
PHST- 2023/04/14 00:00 [pmc-release]
AID - 10.1097/MS9.0000000000000658 [doi]
PST - epublish
SO  - Ann Med Surg (Lond). 2023 Apr 14;85(5):1546-1549. doi: 
      10.1097/MS9.0000000000000658. eCollection 2023 May.