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Novel technique for management of Bartholin gland cysts and abscesses.
J Emerg Med. 2009 May; 36(4):388-90.JE

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.

Authors+Show Affiliations

Department of Obstetrics, Gynecology and Women's Health, New Jersey Medical School, Newark, New Jersey 07101-1709, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19038518

Citation

Kushnir, Vitaly A., and Claudia Mosquera. "Novel Technique for Management of Bartholin Gland Cysts and Abscesses." The Journal of Emergency Medicine, vol. 36, no. 4, 2009, pp. 388-90.
Kushnir VA, Mosquera C. Novel technique for management of Bartholin gland cysts and abscesses. J Emerg Med. 2009;36(4):388-90.
Kushnir, V. A., & Mosquera, C. (2009). Novel technique for management of Bartholin gland cysts and abscesses. The Journal of Emergency Medicine, 36(4), 388-90. https://doi.org/10.1016/j.jemermed.2008.05.019
Kushnir VA, Mosquera C. Novel Technique for Management of Bartholin Gland Cysts and Abscesses. J Emerg Med. 2009;36(4):388-90. PubMed PMID: 19038518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel technique for management of Bartholin gland cysts and abscesses. AU - Kushnir,Vitaly A, AU - Mosquera,Claudia, Y1 - 2008/11/26/ PY - 2008/03/23/received PY - 2008/05/04/revised PY - 2008/05/07/accepted PY - 2008/11/29/pubmed PY - 2009/8/29/medline PY - 2008/11/29/entrez SP - 388 EP - 90 JF - The Journal of emergency medicine JO - J Emerg Med VL - 36 IS - 4 N2 - 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. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/19038518/Novel_technique_for_management_of_Bartholin_gland_cysts_and_abscesses_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(08)00533-7 DB - PRIME DP - Unbound Medicine ER -