Abstract:Objective:To evaluate the feasibility and value of clinical application of ultrasoundguided mammotome minimally invasive system in the diagnosis and treatment of breast abscess.
Methods : From January 2004 to January 2007,53 cases of breast abscess were treated by mammotome minimally invasive system. A suitable covert breast incision was made. The ultrasoundguided mammotome system was used for suction of pus, excision of abscess wall and insertion of drainage tube.The cases with nipple retracion underwent secondstage plastic operation.
Results:All of the 53 cases of breast abscess were cured.The average length of incision was 0.3cm. The average duration of operation was 47.3min. The surgical trauma was small, the course of illness was short, and the cosmetic appearance of the breasts was satisfactory. The clinical diagnosis was confirmed by routine pathology examination.Healing by first intention occurred in 48 cases, and partial nipple surface was scabbed in 5 cases, but all recovered after 2 weeks of conservative therapy.
Conclusions:Mammotone is a feasible and safe procedure with satisfactory cosmetic results for breast abscess. It can provide favorable condition for subsequent plastic nipple surgery.