Re: Granulation tissue and Gartner's duct cyst
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed May 4 21:32:13 2005
Dan, you are right, as always, and I should have brushed up on my
embryology. It is a mesonephic remant (at least that's what I could
find on the web, since I'm in L and D without texts).
OK, so do we still marsupialize?
Garry
At Wed, 4 May 2005, Garry E. Siegel, M.D. wrote:
>
>Isn't a Gartner's duct cyst a Wolfian remant?
>
>And, gentlemen, how do I marupialize this? Open it up in it mid portion
>and suture the thin walls back? I've certainly marsupialized my share of
>Bartholin Glands, but this is very thin walled in its appearance.
>
>Garry
>
>At Wed, 4 May 2005, R. Daniel Braun wrote:
>>
>>This description makes it sound like a paravaginal Wolffian Duct Remnant.
>>
>>Dan
>>
>>On 5/4/05, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>>> The 3 by 6 cm cystic structure emanates from the left vaginal sidewall
>>> in its midportion, i.e. at 3 o'clock, and appears to be relative narrow
>>> based by inspection and palpation. It is not a Bartholin Gland process
>>> unless it is one I've never seen before. It starts around 3 or 4 inside
>>> the vagina.
>>>
>>> I sure think that its base could be clamped serially, excised, and the
>>> base sewn to excise.
>>>
>>> Garry
>>>
>>> >Garry E. Siegel, M.D. wrote:
>>> >
>>> >>35 YO P2032 6 weeks out from 39 week repeat LTC/S
>>> >>
>>> >>Postop, on day 2, her low transverse skin incision was oozing and had an
>>> >>obvious seroma/hematoma such that it was openend in the hospital, and it
>>> >>has been closing nicely by secondary intention.
>>> >>
>>> >>Now, there is a ridge (3 mm, raised) of granulation tissue in the
>>> >>mid-portion, for around 6 cm. of the length of the incision.
>>> >>
>>> >>Has anyone used silver nitrate on this in this situation? Local
>>> >>anesthesia for it? Office? Or, excised? Or, used electrocautery?
>>> >>
>>> >>Also, she has a 6 by 3 cm. cystic structure that emanates from the left
>>> >>vaginal wall in its midportion. It is thin walled and likely a
>>> >>Gartner's duct cyst, but there is no mention of this anywhere in this
>>> >>pregnancy or in the prior one (we have records), and she's never heard
>>> >>anything of a vaginal cyst.
>>> >>
>>> >>Garry
>>> >>
>>> >>--
>>> >>Garry E. Siegel, M.D.
>>> >>
>>>
>>> --
>>> Garry E. Siegel, M.D.
>>> Private Practice
>>> Roswell, GA
>>>
>>--
>>R. Daniel Braun
>> Kinky for Governor
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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