1. What is a breast abscess/hematoma?
    The procedure consists either of opening up the fistula and leaving it open to drain or cleaning it and closing the wound.
    The development of a mammary fistula in breast feeding women may also occur. This causes abnormal discharge of milk from the cut. This may stop breast feeding.
  1. Anaesthetic
    This procedure will require an anaesthetic.
  1. What are the risks of this specific procedure?
    There are risks and complications with this procedure.  They include but are not limited to the following:

    General risks:

  • Infection can occur, requiring antibiotics and further treatment.
  • Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking blood thinning drugs such as Warfarin, Asprin, Clopidogrel (Plavix or Iscover) or Dipyridamole (Persantin or Asasantin).
  • Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
  • Increased risk in obese people of wound infection, chest infection, heart and lung complications, and thrombosis.
  • Heart attack or stroke could occur due to the strain on the heart.
  • Blood clot in the leg (DVT) causing pain and swelling. In rare cases, part of the clot may break off and go to the lungs.
  • Death as a result of this procedure is possible.

    Specific risks:

  • The wound may continue to drain for some time and require wound dressings.
  • The incision may not drain away all the fluid and further surgery may be necessary.
  • The final healed scar may be thickened and red coloured and may be painful.
  • Alteration of the shape of the breast tissue may occur. This may be disfiguring.
  • Increased risk in smokers of wound and chest infections, heart and lung complications and thrombosis.