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Re: Gyn: Bartholin Gland Hematoma From: Efrain Ramirez (eramirezt@coqui.net) Tue Feb 11 05:40:25 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Gyn:  Bartholin Gland Hematoma" Previous message: Efrain Ramirez: "Re: Cystoscopy" In reply to: Garry E. Siegel, M.D.: "Gyn: Bartholin Gland Hematoma" Same - ice - antibiotics... >At Mon, 10 Feb 2003, Garry E. Siegel, M.D. wrote: > >30 YO P0 presents with 3 days of vulvar pain, negative history save DUB >and no conception in 3.5 years of unprotected intercourse. > >On exam, 4 cm, tender mass in the bartholin area, c/w abscess. > >To the OR we go for a marsupialization, and after making the skin >ellipse, I punched into the cyst wall, and extracted around 100 cc of >blood clots. > >I explored the cavity, and it was literally bleeding fast, fresh blood. >I literally clamped the base, and the sides, and even threw in some >stitches into the cyst and through into the vagina to stop bleeding. I >packed the remainder of the cavity, and left it open. I debated as to >whether to close the skin (I didn't), or excise the whole gland (I >didn't). > >Anyone with any experience with this, i.e. a hematoma? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- "The pessimist complains about the wind, the optimist expects it to change, and the realist adjusts the sails." - William Ward - Next message: DoctorJoe@aol.com: "Re: Gyn:  Bartholin Gland Hematoma" Previous message: Efrain Ramirez: "Re: Cystoscopy" In reply to: Garry E. Siegel, M.D.: "Gyn: Bartholin Gland Hematoma"

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