Vitaly A Kushnir1, Claudia Mosquera. 1. Department of Obstetrics, Gynecology and Women's Health, New Jersey Medical School, Newark, New Jersey 07101-1709, USA.
Abstract
BACKGROUND: Definitive methods for treatment of a Bartholin cyst and abscess include placement of a Word catheter, marsupialization, application of silver nitrate, and surgical excision. Placement of a Word catheter is the most frequently employed technique for office and emergency department (ED) management. However, many institutions do not have the Word catheter available; in addition, the catheter has a tendency to dislodge before epithelialization, leading to recurrence of the cyst. OBJECTIVE: We have developed a simple technique for management of Bartholin gland abscess or cyst using readily available materials. This technique involves using a small loop of plastic tubing, which is secured to prevent expulsion before epithelialization of a drainage tract. CASE REPORT: A 25-year-old woman presented to the ED with a Bartholin gland abscess. After administration of local anesthetic, a loop of tubing was placed, allowing for drainage of the abscess. The patient was discharged home with a course of oral antibiotics. At 3-week follow-up, the Bartholin gland abscess was found to be healed; the device was removed without difficulty, leaving two drainage tracts. CONCLUSION: This technique may be used as an alternative to placement of a Word catheter for management of Bartholin gland abscess or cyst.
BACKGROUND: Definitive methods for treatment of a Bartholin cyst and abscess include placement of a Word catheter, marsupialization, application of silver nitrate, and surgical excision. Placement of a Word catheter is the most frequently employed technique for office and emergency department (ED) management. However, many institutions do not have the Word catheter available; in addition, the catheter has a tendency to dislodge before epithelialization, leading to recurrence of the cyst. OBJECTIVE: We have developed a simple technique for management of Bartholin gland abscess or cyst using readily available materials. This technique involves using a small loop of plastic tubing, which is secured to prevent expulsion before epithelialization of a drainage tract. CASE REPORT: A 25-year-old woman presented to the ED with a Bartholin gland abscess. After administration of local anesthetic, a loop of tubing was placed, allowing for drainage of the abscess. The patient was discharged home with a course of oral antibiotics. At 3-week follow-up, the Bartholin gland abscess was found to be healed; the device was removed without difficulty, leaving two drainage tracts. CONCLUSION: This technique may be used as an alternative to placement of a Word catheter for management of Bartholin gland abscess or cyst.
Authors: Neila Maria de Góis Speck; Karol Pereira Ruela Boechat; Georgia Mouzinho Lima Dos Santos; Julisa Chamorro Lascasas Ribalta Journal: Einstein (Sao Paulo) Date: 2016 Jan-Mar