Peripartum or Lactational Mastitis

 

• Peripartum or lactational mastitis and abscess formation is an uncommon occurrence affecting less than 10% of lactating mothers:
  • In the past, incision and drainage with prolonged packing and cessation of breastfeeding has been the primary method of treatment.

• The etiology of lactational abscess results from milk duct blockage with resultant milk stasis and superimposed bacterial infection from the skin or mouth flora of the nursing infant:
  • Microbiology often reveals staphylococcal organisms.

• A modern series report of multidisciplinary management with serial aspiration and appropriate antibiotics suggests a more conservative treatment is appropriate:
  • This study reviewed 41 abscesses of which 22 were treated with aspiration alone and 19 required aspiration and incision and drainage:
    • The primary reason for incision and drainage was lack of improvement or recurrence (N=12) or presence of a fistula (N=3).

REFERENCES

• Giess CS, Golshan M, Flaherty K, et al. Clinical experience with aspiration of breast abscesses based on size and etiology at an academic medical center. J Clin Ultrasound. 2014: 42:513-521.

• Meguid MM, Kort KC, Numann PJ, et al. Subareolar breast abscess: the penultimate stage of the mammary duct-associated inflammatory disease sequence. In: Bland KI, Copeland EM III, eds. The Breast: Comprehensive Management of Benign and Malignant Disorders. 4th ed. Philadelphia (PA): Saunders Elsevier; 2009:107-144.

• Trop I, Dugas A, David J, et al. Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up. Radiographics. 2011;31:1683-1699.

 

Rodrigo Arrangoiz MS, MD, FACS a surgical oncologist and is a member of Sociedad Quirúrgica S.C at the America British Cowdray Medical Center in Mexico City:

• He is an expert in the management of breast cancer.

  • If you have any questions about lactational mastitis please fill free to contact Dr. Arrangoiz.

Training:

• General surgery:

• Michigan State University:

• 2004 al 2010

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• Fox Chase Cancer Center (Filadelfia):

• 2010 al 2012

• Masters in Science (Clinical research for health professionals):

• Drexel University (Filadelfia):

• 2010 al 2012

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• IFHNOS / Memorial Sloan Kettering Cancer Center:

• 2014 al 2016

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http://www.sociedadquirurigca.com