William Wei Lian Teh MBChB, FRCR, Abstract Co-Author: Speaker, Hologic, Inc Speaker, Devicor Medical Products, Inc

Sophie Harriet Pattison MBChB, FRCR, Presenter: Nothing to Disclose

Mia Morgan MBBS, FRCR, Abstract Co-Author: Nothing to Disclose

The current gold standard for the treatment of breast abscesses is for percutaneous aspiration repeated as clinically necessary. If this method fails  then formal surgical incision and drainage may be required. This may result in cosmetic morbidity and also requires the general sequelae of an operation i.e. general anaesthetic, and hospitalisation. Following surgery for breast cancer, patients can develop haematomas or loculated seromas that do not resolve with simple aspiration. This can delay post operative radiotherapy. In order to avoid surgical incision and drainage for these two categories, we have been successfully performing ultrasound guided vacuum irrigation and drainages at our institution.

Introduction Technique Figure 1: Vacuum biopsy introduced into abscess following local anaesthetic administration. Figure 2: Device in use: US image of the sampling notch in septations of abscess Figure 3:  A large septated postsurgical seroma. Conventional drainage was hindered by the thick fibrous septae and viscous content. Figure 4.: Utilising the biopsy function, the septae were divided. A saline washout through the vacuum bore followed by suction permitted irrigation and drainage of the contents. Figure 5:  A small residual fibrous cavity remained. Video Experience Conculsion

http://abstract.rsna.org/uploads/2014/14018546/14018546_sgen.pdf

Teh, W, Pattison, S, Morgan, M, Therapeutic Application of Ultrasound Guided Vacuum Irrigation and Drainage In Challenging Abscesses and Seromas.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018546.html