A New Management Technique for Symptomatic Haematomas Following Therapeutic Vacuum-Assisted Biopsy

Florentina Guzmán-Aroca, Juan de Dios Berná-Serna, Ana Azahara García-Ortega, Dolores Hernández-Gómez, Juan de Dios Berná-Mestre, Florentina Guzmán-Aroca, Juan de Dios Berná-Serna, Ana Azahara García-Ortega, Dolores Hernández-Gómez, Juan de Dios Berná-Mestre

Abstract

The aim of this study was to investigate the efficacy of the vacuum-assisted biopsy (VAB) system in evacuating symptomatic haematomas after VAB excision of benign breast lesions. We retrospectively analysed the data of eight patients with symptomatic and large haematomas who were treated with VAB evacuation between 10 and 14 days after VAB excision. Only one case underwent the procedure 24 h after VAB excision, due to the patient reporting intense pain, which was relieved after application of the technique, even though it had to be done twice. This new clinical application of the VAB system for evacuating symptomatic breast haematomas was successful in all the cases in the present study. No technique-related complications were observed. Conclusions: To the best of our knowledge, this is the first study to reveal that VAB evacuation of symptomatic haematomas is safe, effective, quick and well-tolerated by patients.

Keywords: benign lesions; breast; haematoma; ultrasound; vacuum-assisted biopsy.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Example of a 10G needle with 20 mm aperture (a) and a pedal that includes vacuum (black) and cut (sample) buttons (b). The cutting needle opened at the point labeled 12 (c) and the direction for aspiration was clockwise (d).
Figure 1
Figure 1
Example of a 10G needle with 20 mm aperture (a) and a pedal that includes vacuum (black) and cut (sample) buttons (b). The cutting needle opened at the point labeled 12 (c) and the direction for aspiration was clockwise (d).
Figure 2
Figure 2
Flow diagram of patient inclusion in this study. VAB: vacuum-assisted biopsy; VAS: visual analogue scale; US: ultrasound.
Figure 3
Figure 3
Example of VAB evacuation of a haematoma after VAB excision of a fibroadenoma: (a) the ultrasound image shows a hypoechoic-heterogeneous haematoma; (b) a vacuum-assisted biopsy needle was inserted into the haematoma cavity and we evacuated fluid until the collection disappeared; (c) residual fluid.

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Source: PubMed

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