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Re: equipment From: D. Ashley Hill (dahmd@cfl.rr.com) Mon Jan 3 18:14:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Previous message: Joanne Bulley, MD: "Re: equipment" In reply to: Charlie Chambers: "Re: equipment" Next in thread: Braun, R. Daniel: "Re: equipment" It would be an interesting study to rate the post-procedure discomfort after marsupialization versus Word catheter placement. (Of course, finding patients with bilateral Bartholin gland cysts so you could randomize might be kind of difficult). I perceive Word catheters as more uncomfortable, because even though you tuck them into the vagina, the ends tend to fall out, which may cause a pulling sensation. Either procedure should work fine. Unfortunately, many emergency room folks just incise and drain the cyst, which increases the chance of recurrence. Ashley At Mon, 3 Jan 2005, Charlie Chambers wrote: > >Probably more of the problem is making too big of an incision. I've >seen plenty of them fall out. But, I haven't had any that I have placed >come out. I agree that marsupialization is an excellent treatment, but >in my personal experience, much more discomfort than the placement of a >Word cath or small pedi foley. > >On Jan 3, 2005, at 12:32 PM, D. Ashley Hill wrote: > >> Word catheter: The device used before performing the marsupialization >> procedure :) >> >> I agree, Gerald. Word catheters fall out so often I prefer the >> marsupialization procedure. I've seen them placed between the cyst >> wall >> and vaginal mucosa, and have seen them fall out within a day or two >> regardless of the distention fluid used (saline, glycine, surgical >> lubricant). Our emergency department doctors like them because they >> are >> fast. Happy New Year. >> >> Ashley >> >> At Mon, 3 Jan 2005, Gerald P. Rodríguez wrote: >>> >>> Looks like small, very short Foley catheter. Acts as a drain. One >>> inserts the tip into the cavity, inflates the balloon, and leaves it >>> in place for a few days to insure drainage and (one hopes), leave a >>> permanent opening to the exterior so that cyst/abscess does not >>> reform. In my experience the Word catheter works pretty well; wish >>> they didn't fall out early so often. >>> >>> Gerald P. Rodríguez, M.D., FACOG >>> Santa Fe >> >> -- >> D. Ashley Hill, MD >> Associate Director >> Department of Obstetrics and Gynecology >> Florida Hospital Family Practice Residency >> and Loch Haven Ob/Gyn Group >> Orlando, Florida >> >************************************************************************ >* > >-- >************************************************************************ >Charlie Chambers >Hood River, OR >cchamber@alumni.rice.edu > >"No matter where you go... > there you are." >Dr. Buckaroo Banzai >************************************************************************ > >************************************************************************ > -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida Next message: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Previous message: Joanne Bulley, MD: "Re: equipment" In reply to: Charlie Chambers: "Re: equipment" Next in thread: Braun, R. Daniel: "Re: equipment"

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