ORIGINAL ARTICLE   

Chirurgia 2020 June;33(3):139-42

DOI: 10.23736/S0394-9508.19.05025-3

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Vacuum-assisted closure for wound healing in idiopathic granulomatous mastitis: our clinical experience

Feyzi KURT ✉

Department of General Surgery, Seyhan Government Hospital, Adana, Turkey

BACKGROUND: Granulomatous mastitis is a rare inflammatory disease of the breast. The disease is mostly seen in one breast and there is no accepted treatment. There are different medical and surgical treatment methods. In the present study, we aimed to examine the efficacy of vacuum-assisted closure (VAC) in addition to surgery in cases where the control of the disease is difficult with surgical treatment.
METHODS: Fourteen patients who were treated for idiopathic granolumatous mastitis from October 2010 to October 2018 at Seyhan Government Hospital General Surgery Clinic were included in the study.
RESULTS: Ten patients underwent tru-cut biopsy, two patients fine-needle aspiration biopsy and two patients excisional biopsy. Twelve patients underwent segmental mastectomy. Six (42.8%) patients recovered without any problem postoperatively. The other eight patients had problems such as wound infection, abscess, fistula and necrosis. Four patients underwent daily dressings and debridement, while for four patients VAC was applied.
CONCLUSIONS: We found that application of VAC decreases the number of debridements and hospital stay in the management of complications after surgery.

KEY WORDS: Granulomatous mastitis; Negative-pressure wound therapy; Wounds and injuries