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Surgical management of Bartholin cysts and abscesses in French university hospitals.
J Gynecol Obstet Hum Reprod. 2019 Oct; 48(8):631-635.JG

Abstract

OBJECTIVES

To assess the methods used to manage Bartholin gland abscesses and cysts in French university hospitals.

METHOD

Data for this descriptive, cross-sectional study with self-reported data were collected between January and March 2018 by an online questionnaire. The 11 items of the questionnaire assessed the surgical techniques known and used, the type of hospitalization, and the non-surgical management to treat Bartholin gland abscesses and cysts.

RESULTS

Overall, 116 obstetrics-gynecology residents responded to the online questionnaire. The three best-known techniques were incision and drainage, marsupialization, and excision of the Bartholin gland. Only 3% of the physicians knew about other techniques. Most participants reported that their unit treated 2-6 Bartholin gland abscesses monthly and fewer than 2 cysts. The most frequent treatment for abscess was incision-drainage (87%), followed by marsupialization (13%). The most widely used treatment for the cysts was gland excision (68.5%) followed by marsupialization (22.5%). In both cases, management generally took place on an outpatient basis (92.9%).

CONCLUSION

This study showed that 87% of the respondents used incision-drainage for Bartholin gland abscesses, although the recurrence and complication rates of this technique have never been evaluated.

Authors+Show Affiliations

Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France; Nantes Medical University, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France; Nantes Medical University, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France; Nantes Medical University, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France; Nantes Medical University, France.Department of Gynecology-Obstetrics and Reproductive Medecine, 38 boulevard Jean Monnet, 44000, Nantes, France; Nantes Medical University, France. Electronic address: Thibault.thubert@chu-nantes.fr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30936026

Citation

Cardaillac, Claire, et al. "Surgical Management of Bartholin Cysts and Abscesses in French University Hospitals." Journal of Gynecology Obstetrics and Human Reproduction, vol. 48, no. 8, 2019, pp. 631-635.
Cardaillac C, Dochez V, Gueudry P, et al. Surgical management of Bartholin cysts and abscesses in French university hospitals. J Gynecol Obstet Hum Reprod. 2019;48(8):631-635.
Cardaillac, C., Dochez, V., Gueudry, P., Vaucel, E., Ploteau, S., Winer, N., & Thubert, T. (2019). Surgical management of Bartholin cysts and abscesses in French university hospitals. Journal of Gynecology Obstetrics and Human Reproduction, 48(8), 631-635. https://doi.org/10.1016/j.jogoh.2019.03.022
Cardaillac C, et al. Surgical Management of Bartholin Cysts and Abscesses in French University Hospitals. J Gynecol Obstet Hum Reprod. 2019;48(8):631-635. PubMed PMID: 30936026.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of Bartholin cysts and abscesses in French university hospitals. AU - Cardaillac,Claire, AU - Dochez,Vincent, AU - Gueudry,Pauline, AU - Vaucel,Edouard, AU - Ploteau,Stéphane, AU - Winer,Norbert, AU - Thubert,Thibault, Y1 - 2019/03/29/ PY - 2019/01/14/received PY - 2019/03/09/revised PY - 2019/03/20/accepted PY - 2019/4/3/pubmed PY - 2020/4/1/medline PY - 2019/4/3/entrez KW - Abscess KW - Bartholin gland KW - Cyst KW - Marsupialization SP - 631 EP - 635 JF - Journal of gynecology obstetrics and human reproduction JO - J Gynecol Obstet Hum Reprod VL - 48 IS - 8 N2 - OBJECTIVES: To assess the methods used to manage Bartholin gland abscesses and cysts in French university hospitals. METHOD: Data for this descriptive, cross-sectional study with self-reported data were collected between January and March 2018 by an online questionnaire. The 11 items of the questionnaire assessed the surgical techniques known and used, the type of hospitalization, and the non-surgical management to treat Bartholin gland abscesses and cysts. RESULTS: Overall, 116 obstetrics-gynecology residents responded to the online questionnaire. The three best-known techniques were incision and drainage, marsupialization, and excision of the Bartholin gland. Only 3% of the physicians knew about other techniques. Most participants reported that their unit treated 2-6 Bartholin gland abscesses monthly and fewer than 2 cysts. The most frequent treatment for abscess was incision-drainage (87%), followed by marsupialization (13%). The most widely used treatment for the cysts was gland excision (68.5%) followed by marsupialization (22.5%). In both cases, management generally took place on an outpatient basis (92.9%). CONCLUSION: This study showed that 87% of the respondents used incision-drainage for Bartholin gland abscesses, although the recurrence and complication rates of this technique have never been evaluated. SN - 2468-7847 UR - https://www.unboundmedicine.com/medline/citation/30936026/Surgical_management_of_Bartholin_cysts_and_abscesses_in_French_university_hospitals_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-7847(19)30027-3 DB - PRIME DP - Unbound Medicine ER -