Comparison of Multiple Percutaneous Needle Aspiration Versus Incision and Drainage in Small Breast Abscesses: Pain, Cosmesis, and Early Breastfeeding Outcomes

Quaid-e-Azam Medical College

Status: Completed

Conditions: Breast Abscess

Treatments: Procedure: Multiple Percutaneous Needle Aspiration (MPNA); Procedure: Incision and Drainage (ID)

Study type: Interventional

Funder types: Other

Identifiers

NCT06951373

No. PG656/DME/QAMC/BWP

Details and patient eligibility

About

This study aims to compare the effectiveness of multiple percutaneous needle aspiration (MPNA) versus incision and drainage (ID) for the management of small breast abscesses in breastfeeding women. The trial evaluates three key outcomes: post-procedure pain levels, cosmetic satisfaction, and the timing of breastfeeding restoration. The study is conducted at the Department of Surgery, Bahawal Victoria Hospital Bahawalpur, enrolling 110 lactating women aged 18-45 years with abscesses ≤5 cm in diameter. Participants were treated with either MPNA or ID based on clinical decision and patient preference. Pain levels were assessed using a standardized scale, cosmetic outcomes were evaluated via patient-reported satisfaction, and breastfeeding restoration was monitored at baseline, one week, and one month post-treatment. Findings indicate that MPNA is associated with lower pain scores, better cosmetic satisfaction, and faster resumption of breastfeeding compared to ID, suggesting MPNA as a preferred first-line treatment for small breast abscesses.

Enrollment: 110 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Married breastfeeding women Age: 18-45 years Diagnosed with breast abscess (≤5 cm in diameter)

Exclusion criteria

• Complicated abscesses Compromised immune system History of prior surgical interventions for breast abscess Unwilling to participate in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

110 participants in 2 patient groups

Multiple Percutaneous Needle Aspiration (MPNA) Group

Experimental group

Description:

Participants in this group underwent multiple percutaneous needle aspiration for the treatment of small breast abscesses

Treatment:

Procedure: Incision and Drainage (ID)

Procedure: Multiple Percutaneous Needle Aspiration (MPNA)

Incision and Drainage (ID) Group

Active Comparator group

Description:

Participants in this group underwent incision and drainage for the treatment of small breast abscesses.

Treatment:

Procedure: Incision and Drainage (ID)

Procedure: Multiple Percutaneous Needle Aspiration (MPNA)