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  • Lactational phlegmon
  • Galactocoele: presentation, prevalence, pathophysiology
  • Galactocoele: investigation, management
  • Dr Adam Ofri, Breast Surgeon, discusses management of abscess, galactocoele, and fistula: video

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  • PBL Advanced
  • S8: Lactation-related breast inflammation
  • CH 7: Galactocoele + phlegmon

Dr Adam Ofri, Breast Surgeon, discusses management of abscess, galactocoele, and fistula: video

Dr Pamela Douglas29th of Oct 20246th of Sep 2025

Lactation-related breast complications (abscesses, galactoceles, and fistulas): presentation by Dr Adam Ofri

Dr Adam Ofri (BMed MS FRACS MAdvSurg) is a Breast Surgeon with Northern Breast Care in North Sydney, Goals in Bondi Junction and is a Visting Medical Officer at Bega South-East Regional Hospital. He has interests in preventative breast care (including tailored breast screening and risk assessment), benign and malignant breast disease. He also has a passion for academia being a Senior Lecturer at the University of Sydney, and a Clinical Research Fellow at the Royal Prince Alfred Institute of Academic Surgery.

Dr Ofri is the recipient of the 2023 and 2024 Clinical Research Fellowships for Breast Cancer Trials and was awarded the 2023 John Collins Medal. His research is focussed on evaluating targeted axillary dissection in Australia and New Zealand, as well as designing a national randomised controlled trial to evaluate DCISionRT. You can visit Dr Ofri's website here.

Dr Adam Ofri

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Next up in Abscess

Abscess: prevalence, presentation, pathophysiology, investigation

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Definition

A lactation-related or puerperal abscess is an enclosed acute inflammatory mass which contains purulent debris.

Prevalence

Reported rates of lactational (puerperal) mastitis range from 2-20% of breastfeeding or lactating women.1 In recent Australia data the rate is at the higher end of the spectrum, at approximately 18%.2

One seminal Swedish study found that abscess occurred in about 3% of lactating women who present with a painful erythematous breast lump, regardless of whether or not antibiotics have been prescribed.3

Over the past 15 years, women have been advised to perform deep lump massage when they have mastitis, which results in microhaemorrhage and worsened inflammation in the sensitive and highly vascular…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.