Outcome of Surgical Treatment of Complicated Periductal Mastitis
Elshenawy, A., Kabbash, M., Redwan, A., Madany, M. (2023). Outcome of Surgical Treatment of Complicated Periductal Mastitis. EKB Journal Management System, 3(2), 175-187. doi: 10.21608/aumj.2023.242722.1083
Anwar Abdo Elshenawy; Mansor Mohammed Kabbash; Ahmed Redwan; Mohie El-Din Mostafa Madany. "Outcome of Surgical Treatment of Complicated Periductal Mastitis". EKB Journal Management System, 3, 2, 2023, 175-187. doi: 10.21608/aumj.2023.242722.1083
Elshenawy, A., Kabbash, M., Redwan, A., Madany, M. (2023). 'Outcome of Surgical Treatment of Complicated Periductal Mastitis', EKB Journal Management System, 3(2), pp. 175-187. doi: 10.21608/aumj.2023.242722.1083
Elshenawy, A., Kabbash, M., Redwan, A., Madany, M. Outcome of Surgical Treatment of Complicated Periductal Mastitis. EKB Journal Management System, 2023; 3(2): 175-187. doi: 10.21608/aumj.2023.242722.1083

Outcome of Surgical Treatment of Complicated Periductal Mastitis

Aswan University Medical Journal
Volume 3, Issue 2, December 2023, Page 175-187  XML PDF (1.96 MB)
Document Type: Original Article
DOI: 10.21608/aumj.2023.242722.1083
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Authors
Anwar Abdo Elshenawy1; Mansor Mohammed Kabbash2; Ahmed Redwan email 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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