Outcome of Surgical Treatment of Complicated Periductal Mastitis | ||
| Aswan University Medical Journal | ||
| Volume 3, Issue 2, December 2023, Pages 175-187 PDF (1.96 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2023.242722.1083 | ||
| Authors | ||
| Anwar Abdo Elshenawy1; Mansor Mohammed Kabbash2; Ahmed Redwan* 3; Mohie El-Din Mostafa Madany4 | ||
| 1Department of surgical oncology, Faculty of Medicine - Aswan University | ||
| 2General Surgery department, Faculty of Medicine ; Aswan University, Aswan, Egypt | ||
| 3General surgery Department, Faculty of medicine, Aswan university, Aswan, Egypt | ||
| 4General surgery department , Faculty of Medicine - Aswan University; Aswan; Egypt | ||
| Abstract | ||
| Background: Periductal mastitis (PDM) is a complex benign breast disease with a prolonged course and a high risk of recurrence after treatment. After failure of medical treatment, surgery is the option of choice, this consists of excision of all of the major ducts. Aim and objectives: This study aimed to evaluate the surgical treatment of complicated periductal mastitis after failure of medical treatment. Subjects and methods: In our prospective study, we included all patients presented with complicated periductal mastitis, from January to December 2022. Results: the mean age was 39.9 (±15.5 SD), the mean BMI was 27.82 (±2.49 SD) and there were 9 (18%) with hypertension, 2 (4%) with diabetes, 9 (18%) with HCV and 6 (12%) with recurrence of PDM. the mean operative duration was 65.66 (±9.14 SD), the mean duration of hospitalization was 2.62 (±0.99 SD) and among the studied cases there were 7 (14%) who didn’t improve and 43 (86%) who improved. Conclusion: Mass, abscess, fistula and nipple retraction are most common manifestations of the disease. Wide surgical excision, fistulectomy and extended excision with transfer of a random breast dermo-glandular flap are effective surgical modalities for different types of PDM. | ||
| Keywords | ||
| Complicated Periductal mastitis (PDM); wide surgical excision; fistulectomy; extended excision | ||
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