Bartholin gland cysts are located in the posterolateral inferior third of the vagina and are associated with the labia majora. Clinical presentation Most patients are . Bartholin glands were first described by Caspar Bartholin, a Dutch anatomist, in These paired glands are approximately 0. Oclusão não infecciosa do ducto de Bartholin distal, com retenção de secreções resultante. Diagnosticado no exame clínico. A aparência clássica é de uma.
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Squamous and urothelial epithelium common but may be destroyed by inflammatory infiltrate Still see residual mucinous glands with nonsulfated sialomucin May have calcifications resembling malakoplakia.
Eur J Gynaecol Oncol. Carbon-dioxide laser vaporization of the Bartholin gland cyst: However, if the cyst is infected and an abscess develops, the clinical picture becomes symptomatic.
Results There were no complications.
The gold standard dde is surgical removal of the entire cyst. The most frequent postoperative complaints were a burning sensation at the surgical site, hematoma, and dyspareunia. Skin incision was performed with focused laser beam, the capsule was opened to drain mucoid content, followed by internal vaporization of impaired capsule.
Treatment of Bartholin gland cyst with CO2 laser
Treatment used for cysts and abscesses of the Bartholin gland is still very controversial. Kushnir VA, Mosquera C. Their location is at or below the level of the pubic symphysis best appreciated on coronal bartolin. It proposed the placement of a device similar to this catheter that allowed drainage and reepithelization, and was removed after three weeks with total recovery of the patient.
A report of nine cases and review of the literature. Transitional epithelial lining and mucus glands. Bartholin’s gland cyst Bartholin gland cysts Bartholin’s gland cysts. Fistulization — Word catheter and Jacobi ring Placement of the Word catheter is a technique first described by Buford Word, inand has the advantages of being a simple method, it is possible to perform the procedure at an outpatient setting, and patients recover promptly.
Randomized pilot study comparing a rubber ring catheter to the word catheter in the treatment of Bartholin abscesses. Choose one of the access methods below or take a look at our subscribe or free trial options.
Bartbolin a randomized prospective study, 83 women submitted to marsupialization were followed up, If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here: There were no complications. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
A study published in developed a technique similar to that of the Word catheter. Clin Exp Obstet Gynecol. Since there is no hospitalization, the patient is discharged home after the procedure, and soon returns to her daily activities. Oftentimes, women remain asymptomatic. At the extremity of the catheter, there is a sac that is inflated with up to 3mL of sterile saline solution, and the catheter is left in place for 4 to 6 weeks.
The procedure was cizto at an outpatient clinic, gartholin a minimal amount of bleeding during the act, besides good and rapid healing. It is an elective procedure, performed in the absence of infection, and it is normally used after failure of other techniques.
The disadvantage is no availability of this catheter at hospitals. Case 6 Case 6. Journal List Einstein Sao Paulo v. In Italy, this technique has been used by several authors, due to the ease of access to laser technology.
Chronic inflammation can lead to ductal obstruction from pus or thick mucus which in turn can result in retained secretions within the Bartholin glands. These are factors that have influenced our preference for the technique presented. Application of silver nitrate to treat Bartholin gland cyst or abscess is considered a simple and effective technique, which can be performed in an outpatient setting.
Images hosted on other servers: Cases and figures Imaging differential diagnosis. Articles Cases Courses Quiz. Ablation with silver nitrate Application of silver nitrate to treat Bartholin gland cyst or abscess is considered a simple and effective technique, which can be performed in an outpatient setting.
This device also allows drainage and reepithelization. The Bartholin cyst approach with CO 2 laser, according to the technique described of opening of the cyst, drainage of the content, and vaporization of the capsule, can be used as an effective conservative treatment with low rates of recurrence, complications, and great patient satisfaction. If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here:.
The CO 2 laser proved to be an effective method with low morbidity. In a study done with a group of 76 patients submitted to this treatment, the recurrence rate was Nine of them had carcinoma of the Bartholin gland, including three patients with squamous cell carcinoma, three with cystic adenoid carcinoma, and three with sarcoma.
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CO2 laser CO 2 ee can be use both to vaporize and to remove the Bartholin gland. Case 1 Case 1. The recurrence rate in our survey was similar to that of literature, according to the various techniques initially described.
Apenas duas pacientes apresentaram recidiva, necessitando de nova abordagem. The technique to be used depends on the skills of the physician and availability of equipment. Synonyms or Alternate Spellings: If your hospital, university, trust or other institution provides access to Best Practice, log in via the appropriate link below: Sign up for a FREE trial. Author information Article notes Copyright and License information Disclaimer.
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