{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:18:21Z","timestamp":1788257901242,"version":"build-2803163510"},"reference-count":37,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82171935"],"award-info":[{"award-number":["82171935"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"the the Self funded Research Project of Guangxi Zhuang Autonomous Region Administration of Traditional Chinese Medicine","award":["GXZYA20220358"],"award-info":[{"award-number":["GXZYA20220358"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Benign breast disease (BBD) is common in adult women. While ultrasound-guided microwave ablation (MWA) is an established minimally invasive treatment, its comparative impact on postoperative lactation, particularly mastitis, remains understudied. This study aimed to evaluate mastitis outcomes following MWA versus open surgery for BBD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, 79 patients (105 nodules) treated between January 2018 and August 2023 were included 41 patients (62 nodules) underwent MWA and 38 patients (43 nodules) underwent open surgery. All patients lactated within 5 years post-procedure. The primary outcome was the incidence of lactational mastitis without systemic symptoms (MWoSS) and mastitis with systemic symptoms (MSS). Patient satisfaction was also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The incidence of MWoSS was significantly lower in the MWA group (19.5%) than in the open surgery group (50.0%). Similarly, MSS occurred in 4.9% of the MWA group versus 34.2% of the open surgery group. Multivariate analysis identified open surgery as an independent risk factor, associated with a 4.13-fold increased risk of MWoSS (OR = 4.125, 95% CI: 1.517\u201311.218) and a 10.14-fold increased risk of MSS (OR = 10.140, 95% CI: 2.107\u201348.793). Patient satisfaction was significantly higher in the MWA group (9.29 \u00b1 0.72 vs. 8.15 \u00b1 1.13,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Compared to open surgery, ultrasound-guided MWA for BBD is associated with a significantly lower risk of postoperative mastitis and higher patient satisfaction, supporting its use for women of reproductive age, particularly when future breastfeeding is planned.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261464815","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:31:46Z","timestamp":1784784706000},"page":"564-571","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-Guided Microwave Ablation Versus Open Surgery for Benign Breast Disease: Impact on Postoperative Lactation"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4763-633X","authenticated-orcid":false,"given":"Hui","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing, Capital Medical University, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Beijing Tiantan Hospital, Capital Medical University, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, The Affiliated Hospital of Southwest Medical University, Luzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Xiu","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, The Nanning Second People\u2019s Hospital (The Third Affiliated Hospital of Guangxi Medical University), Nanning, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6020-2726","authenticated-orcid":false,"given":"Hong","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Nursing, Capital Medical University, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2021.11.003"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1417050"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.11152\/mu-1408"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2020.09.005"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-024-02701-y"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/gs-20-701"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2008.00574.x"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-025-11973-8"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-10614-w"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.15041"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hbpd.2024.09.012"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2021.1895329"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2025.110305"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-5523-6"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2020.1845401"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2024.0283"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007239.pub3"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","unstructured":"18.Global nutrition targets. breastfeeding brief. 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