Re: Bartholin Gland Abscess
From: Gerald P. Rodriguez (geraldpr@cybermesa.com)
Mon Feb 14 20:50:42 2000
Gary,
I would re-do this gland in the OR under regional or general anesthesia.
Do *not* try to remove the whole gland as almost nothing short of a
hemi-vulvectomy will assure that you have removed the whole gland. Do,
however, a good wide marsupialization with several sutures from the edges
to the back wall of the cyst.
--
Gerald P. Rodriguez, M.D., FACOG
+++++++++++++++++++++++++++++++++++++++++++++++
"Idealism is fine, but as it approaches reality the cost becomes
prohibitive."--Wm. F. Buckley
"¿Qúe es un pedo pa' tanta naríz?"--quien sabe quien lo dijo
+++++++++++++++++++++++++++++++++++++++++++++++
>----- Original Message -----
From: Garry Siegel <garrys@mindspring.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
Sent: Monday, February 14, 2000 7:17 PM
Subject: GYN: Bartholin Gland Abscess
> 30 YO P0101 is now 6 weeks PP, from a vaginal delivery at 36 weeks with
> PIH, spontaneous labor. At about 8 weeks of pregnancy, and for the
> first time in her life, she had a Barholin Gland abscess treated by my
> partner with in office marsupialization. During the pregnancy, the
> gland intermittently filled, and spontaneously drained.
>
> Now she is 6 weeks out. Today, the area where the marsupialization
> occurred is draining a small amount of turbid fluid, and the gland on
> that side is 2 cm total, nontender.
>
> She contemplates another pregnancy soon, perhaps as early as the summer.
>
> I am debating about what surgical management to offer, or whether to
> leave this alone and see how much (or little) it bothers her once
> sexually active. I hesitate to remove the whole thing, but wonder if a
> less conservative reop will be helpful. If I do reop, I would do it
> under anesthesia, and likely break up any loculations that obviously
> weren't broken up before, and then insert a Word for as long as it would
> stay up to 6 weeks, or marsupialize it if possible.
>
> Any thoughts?
>
> Luis, if this question shows my ignorance, feel free to again ridicule
> me publicly. This will enhance your self worth and remind the other
> list members what a fine gentleman you are.
>
> Garry
>
> --
> Garry E. Siegel, M.D., F.A.C.O.G.
> Roswell, GA
> Private Practice
>
