Surgical management of neonatal mastitis: case series and literature review.

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2026-07-20 DOI:10.54847/cp.2026.03.17

L J Sánchez Pulido, G Solís Sánchez, C Calvo Penín, E Hortelano Romero, S E Olarte Ingaroca, C Pérez Costoya, D Crehuet Gramatyka, V Álvarez Muñoz

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Abstract

Objectives: To describe the surgical experience in the management of neonatal mastitis and to review the relevant literature on its clinical and surgical management.

Material and methods: A retrospective study of 16 cases treated at a tertiary care hospital between 2009 and 2024. Clinical, laboratory, microbiological, and surgical variables were collected.

Results: Most patients were female, with a mean age at diagnosis of 17 days. Surgical drainage was required in 32% of cases, and Staphylococcus aureus was isolated in all of them. Cloxacillin and gentamicin were used as the treatment of choice. Clinical outcomes were favourable in most cases, with a low recurrence rate.

Conclusions: Combined medical and surgical treatment is effective in complicated neonatal mastitis. Early diagnosis and a conservative surgical technique are key to achieving a favourable prognosis.

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新生儿乳腺炎的外科治疗：病例系列和文献回顾。

目的：介绍新生儿乳腺炎的手术治疗经验，并对其临床和手术治疗的相关文献进行综述。材料与方法：对2009年至2024年在某三级医院治疗的16例患者进行回顾性研究。收集临床、实验室、微生物学和手术变量。结果：大多数患者为女性，平均年龄为17天。32%的病例需要手术引流，所有病例均分离出金黄色葡萄球菌。氯氯西林和庆大霉素是首选的治疗方法。大多数病例的临床结果良好，复发率低。结论：内科与外科联合治疗是治疗新生儿复杂乳腺炎的有效方法。早期诊断和保守的手术技术是获得良好预后的关键。

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Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica

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