Clinical therapeutic evaluation of vacuum sealing drainage and precise ultrasound‑guided debridement in the treatment of non‑lactational mastitis

Chen,Ruifu; Chen,Junpeng; Peng,Ajing; Yang,Lihua; Zhou,Ruijuan

doi:10.3892/etm.2021.9911

Clinical therapeutic evaluation of vacuum sealing drainage and precise ultrasound‑guided debridement in the treatment of non‑lactational mastitis

Authors:
- Ruifu Chen
- Junpeng Chen
- Ajing Peng
- Lihua Yang
- Ruijuan Zhou
View Affiliations

Affiliations: Department of Thoracic and Breast Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, Fujian 361000, P.R. China
Published online on: March 12, 2021 https://doi.org/10.3892/etm.2021.9911
Article Number: 480
Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The aim of the present study was to compare the efficacy of vacuum sealing drainage (VSD) and precise ultrasound-guided debridement in the treatment of non-lactational mastitis and to determine the optimal surgical treatment. A set of 60 cases diagnosed with non‑lactational mastitis who had received surgical treatment at the Department of Thoracic and Breast Surgery of Xiamen Hospital of Traditional Chinese Medicine (Xiamen, China) between July 2017 and June 2019 were included. According to the surgical method, 30 patients were assigned to the VSD group and 30 patients were assigned to the precise ultrasound‑guided debridement group. The clinicopathological data of the two groups were compared. The overall rates of recurrence and new incidence were 6.8 and 8.5%, respectively. The mean total disease course was 5.3 months and all of the patients were cured after treatment. Except for the hospitalization time and postoperative pain scores, the clinicopathological data between the two groups were similar. The hospitalization time in the VSD group was significantly longer than that in the precise ultrasound‑guided debridement group. Pain scores on the first and third days after the operation in the precise ultrasound‑guided debridement group were significantly higher than those in the VSD group (P=0.008 and 0.001, respectively). In conclusion, the efficacies of VSD and precise ultrasound‑guided debridement for the treatment of non‑lactational mastitis were generally both satisfactory without significant differences. Of note, the former is suitable for patients with inverted nipples and obvious skin ulcerations, while the latter is mainly suitable for patients with abscesses, small surgical incisions and those who require short hospital stays.

View Figures

View References

1	Jiang L, Li X, Sun B, Ma T, Kong X and Yang Q: Clinicopathological features of granulomatous lobular mastitis and mammary duct ectasia. Onco Lett. 19:840–848. 2020.PubMed/NCBI View Article : Google Scholar
2	Bashir MU, Ramcharan A, Alothman S, Beaugris S, Khan SA, Sbeih MA and Engdahl R: The enigma of granulomatous mastitis: A series. Breast Dis. 37:17–20. 2017.PubMed/NCBI View Article : Google Scholar
3	Ma X, Min X and Yao C: Different treatments for granulomatous lobular mastitis: A systematic review and meta-analysis. Breast Care (Basel). 15:60–66. 2020.PubMed/NCBI View Article : Google Scholar
4	Shin YD, Park SS, Song YJ, Son SM and Choi YJ: Is surgical excision necessary for the treatment of Granulomatous lobular mastitis? BMC Womens Health. 17(49)2017.PubMed/NCBI View Article : Google Scholar
5	Wang Y, Song J, Tu Y, Chen C and Sun S: Minimally invasive comprehensive treatment for granulomatous lobular mastitis. BMC Surg. 20(34)2020.PubMed/NCBI View Article : Google Scholar
6	Li J: Diagnosis and treatment of 75 patients with idiopathic lobular granulomatous mastitis. J Invest Surg. 32:414–420. 2019.PubMed/NCBI View Article : Google Scholar
7	Azlina AF, Ariza Z, Arni T and Hisham AN: Chronic granulomatous mastitis: Diagnostic and therapeutic considerations. World J Surg. 27:515–518. 2003.PubMed/NCBI View Article : Google Scholar
8	Ellis G: How to apply vacuum-assisted closure therapy. Nurs Stand. 30:36–39. 2016.PubMed/NCBI View Article : Google Scholar
9	Argenta LC and Morykwas MJ: Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience. Ann Plast Surg. 38:563–577. 1997.PubMed/NCBI
10	Lozano-Balderas G, Ruiz-Velasco-Santacruz A, Díaz-Elizondo JA, Gómez-Navarro JA and Flores-Villalba E: Surgical site infection rate drops to 0% using a vacuum-assisted closure in contaminated/dirty infected laparotomy wounds. Am Surg. 83:512–514. 2017.PubMed/NCBI
11	Weed T, Ratliff C and Drake DB: Quantifying bacterial bioburden during negative pressure wound therapy: Does the wound VAC enhance bacterial clearance? Ann Plast Surg. 52:276–280. 2004.PubMed/NCBI View Article : Google Scholar
12	Orgill DP and Bayer LR: Update on negative-pressure wound therapy. Plast Reconstr Surg. 127 (Suppl 1):S105–S115. 2011.PubMed/NCBI View Article : Google Scholar
13	Hu C, Zhang T, Deng Z, Ren B, Cai L, Zhang Y and Yan L: Study on the effect of vacuum sealing drainage on the repair process of rabbit sciatic nerve injury. Int J Neurosci. 125:855–860. 2015.PubMed/NCBI View Article : Google Scholar
14	Dixon JM: Mammary duct ectasia-periductal mastitis complex. Br J Surg. 83:1017–1019. 1996.PubMed/NCBI View Article : Google Scholar
15	Akcan A, Akyildiz H, Deneme MA, Akgun H and Aritas Y: Granulomatous lobular mastitis: A complex diagnostic and therapeutic problem. World J Surg. 30:1403–1409. 2006.PubMed/NCBI View Article : Google Scholar
16	Baslaim MM, Khayat HA and Al-Amoudi SA: Idiopathic granulomatous mastitis: A heterogeneous disease with variable clinical presentation. World J Surg. 31:1677–1781. 2007.PubMed/NCBI View Article : Google Scholar
17	Gautier N, Lalonde L, Tran-Thanh D, El Khoury M, David J, Labelle M, Patocskai E and Trop I: Chronic granulomatous mastitis: Imaging, pathology and management. Eur J Radiol. 82:e165–e175. 2013.PubMed/NCBI View Article : Google Scholar
18	Zhou ZY, Liu YK, Chen HL and Liu F: Wound management with vacuum assisted closure in surgical site infection after ankle surgery. Int J Surg. 17:15–18. 2015.PubMed/NCBI View Article : Google Scholar
19	Fang LH, Liu SL, Wang RP, Hu SY, Ju WZ and Li CY: Tounong Powder () extracts induce G1 cell cycle arrest and apoptosis in LoVo cells. Chin J Integr Med: Jun 29, 2016 (Epub ahead of print). doi: 10.1007/s11655-016-2597-8.
20	Liao H, Guo J, Chen X, Hua Z, Lin J and Weng Y: Ultrasound classification-guided minimally invasive rotary cutting in granulomatous lobular mastitis. BMC Womens Health. 20(252)2020.PubMed/NCBI View Article : Google Scholar
21	Hawker GA, Mian S, Kendzerska T and French M: Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 63 (Suppl 11):S240–S252. 2011.PubMed/NCBI View Article : Google Scholar
22	Barreto DS, Sedgwick EL, Nagi CS and Benveniste AP: Granulomatous mastitis: Etiology, imaging, pathology, treatment, and clinical findings. Breast Cancer Res Treat. 171:527–534. 2018.PubMed/NCBI View Article : Google Scholar
23	Nikolaev A, Blake CN and Carlson DL: Association between hyperprolactinemia and granulomatous mastitis. Breast J. 22:224–231. 2016.PubMed/NCBI View Article : Google Scholar
24	Gurleyik G, Aktekin A, Aker F, Karagulle H and Saglamc A: Medical and surgical treatment of idiopathic granulomatous lobular mastitis: A benign inflammatory disease mimicking invasive carcinoma. J Breast Cancer. 15:119–123. 2012.PubMed/NCBI View Article : Google Scholar
25	Tsuji T, Satoh K, Okuno E, Sobue A, Nishide Y, Tanaka S and Kogo M: The utility of vacuum-assisted closure therapy for skin necrosis secondary to cervical abscess in the elderly. Auris Nasus Larynx. 44:749–753. 2017.PubMed/NCBI View Article : Google Scholar
26	Krasner DL: Managing wound pain in patients with vacuum-assisted closure devices. Ostomy Wound Manage. 48:38–43. 2002.PubMed/NCBI
27	Silvis RS, Potter LE, Robinson DW and Hughes WF: The use of continuous suction negative pressure instead of pressure dressing. Ann Surg. 142:252–256. 1955.PubMed/NCBI View Article : Google Scholar
28	Mahlab-Guri K, Asher I, Allweis T, Diment J, Sthoeger ZM and Mavor E: Granulomatous lobular mastitis. Isr Med Assoc J. 17:476–480. 2015.PubMed/NCBI
29	Bouton ME, Jayaram L, O'Neill PJ, Hsu CH and Komenaka IK: Management of idiopathic granulomatous mastitis with observation. Am J Surg. 210:258–262. 2015.PubMed/NCBI View Article : Google Scholar
30	Yılmaz TU, Gürel B, Güler SA, Baran MA, Erşan B, Duman S and Utkan Z: Scoring idiopathic granulomatous mastitis: An effective system for predicting recurrence? Eur J Breast Health. 14:112–116. 2018.PubMed/NCBI View Article : Google Scholar