1st order
- Incision (cutting) and counterincision with insertion of a flap – performed when an abscess has formed.
- Also mammary sonography-guided abscess puncture if necessary; contraindications: Suspected inflammatory breast carcinoma/breast cancer; strongly accepted abscesses (relative contraindications).
Advantages of breast ultrasonography (breast ultrasound) guided abscess puncture:
- Can be performed on an outpatient basis, so breastfeeding can continue in the home environment.
- Low invasiveness (no general anesthesia required; intravenous antibiotic treatment is also dispensable).
- Low painfulness (low need for analgesics/painkillers).
- Low rates of treatment failure and recurrence (<5%).
- Breastfeeding remains unaffected even in subsequent pregnancies.