Modified techniques versus Hadfield’s procedure in patients with periductal mastitis

BMC Surgery

Abdullah Ulku¹  Ahmet Gokhan Saritas¹  Ahmet Rencuzogullari¹  Gurhan Sakman¹  Atilgan Tolga Akcam¹  Kubilay Dalci¹  Melek Ergin²  Mehmet Onur Gul³  Serdar Gumus³ 

[1] Department of General Surgery, Cukurova University, Sarıcam, 01330, Adana, Turkey;Department of Pathology, Cukurova University Adana, Sarıcam, 01330, Adana, Turkey;Department of Surgical Oncology, Cukurova University, Sarıcam, 01330, Adana, Turkey;

关键词: Abscess;    Breast;    Hadfield’s procedure;    Periductal mastitis;    Zuska’s disease;   

DOI  :  10.1186/s12893-022-01496-0

来源: Springer

【 摘 要 】

BackgroundPeriductal mastitis (PM) is a rare disease characterized by chronic inflammation of the terminal mammary ducts. Complete removal of terminal lactiferous ducts with Hadfield procedure is a previously defined technique in treatment but carries various complications risks. This study aims to evaluate the effectiveness of modified techniques in the treatment of PM.MethodsTwenty women who underwent surgery due to PM between January 2012 and December 2019 were retrospectively analyzed. Types of PM were determined. All patients were operated on with three different incisions [Hadfield’s operation with periareolar incision (n:11), periareolar combined radial incision (n:7), and round block incision (n:2)].ResultsThe mean age was 37.5 ± 6.5 years (range: 24–49). Sixty percent of patients had type 3 PM. In Hadfield’s procedure, NAC retraction (n:2), seroma (n:1), and hematoma (n:1) were seen. In the periareolar incision combined radial incision group only one patient had complications (seroma) and none in the round block method. Follow-up was 12 ± 1.5 months and disease relapse occurred in two patients in the Hadfield group. Patients who underwent round block were more satisfied with the appearance of the nipple.ConclusionsIn the treatment of PM, the main principle of surgical treatment is the excision of the affected canal with a clear margin. Apart from the classical Hadfield procedure, the round block method and periareolar combined radial incision techniques can be performed in the treatment of PM.

【 授权许可】

CC BY