title: [Lactational breast abscesses: Do we still need surgery?].
abstract: OBJECTIVE
  To show the effectiveness of ultrasound-guided puncture in the treatment of lactational breast abscess and identify its risk factors.
  
  
  METHODS
  Retrospective descriptive study at the CHU of Lyon-Sud from December 2007 to December 2013, including patients with lactational breast abscess confirmed on ultrasound and treated with antibiotics and analgesics. Realisation of ultrasound-guided needle under local anesthesia by the radiologist and washing the cavity with physiological serum.
  
  
  RESULTS
  Forty patients had lactational abscesses at an average of 10 weeks post-partum. Thirty-four patients were treated by needle aspiration, of which 2 had first surgical drainage. The average size of the abscess was 41.2mm. The success rate of needle aspiration was 91.2%. No cases of recurrence were observed, however, there were 5 fistulisations. In all, 91.2% were treated on an outpatient basis. In 87.8% of cases, breastfeeding was continued on the healthy side and in 48.5% of cases on the affected side. The major risk factor for abscess was mastitis in 91.1% of cases.
  
  
  CONCLUSIONS
  Ultrasound guidance of needle aspiration should be gold standard for the treatment of lactational breast abscesses to continue breastfeeding including the affected side.
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. Electronic address: marie-pascale.debord@chu-lyon.fr.
authors.forename: M-P
authors.initials: MP
authors.lastname: Debord
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Poirier
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: H
authors.initials: H
authors.lastname: Delgado
authors.affiliation: Service de radiologie, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Charlot
authors.affiliation: Service de radiologie, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Colin
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Raudrant
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.affiliation: Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Dupuis
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001707:Biopsy, Needle; D001940:Breast / Q000382:microbiology / Q000473:pathology; D001941:Breast Diseases / Q000209:etiology* / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001942:Breast Feeding / Q000009:adverse effects*; D004322:Drainage / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007774:Lactation / Q000502:physiology; D008413:Mastitis / Q000209:etiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D011644:Puerperal Disorders / Q000209:etiology / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000706:statistics & numerical data
keywords: Abcès; Allaitement; Ambulatoire; Breast abscess; Breastfeeding; Needle aspiration; Outpatient basis; Ponction; Sein; Ultrasound guidance; Échographie