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Re: DR BRAUN -- Thank you One more question please --Re: TECHNICAL QUESTION regarding repairing the vaginal introitus after a Horrible Marsupialization
From: Connie (anonymous@obgyn.net)
Wed, 26 Jun 2002 09:04:34 -0500 (CDT)
I didnt quite understand what you meant by the duct was closed off by
SCAR tissue..?? what scar tissue.
At Wed, 26 Jun 2002, R. Daniel Braun, MD wrote:
>
>>you mentioned the original pore duct is not repairable. And that the
>>MARSUP crates an alternative route for the fluids to drain.... does
>>that mean that the fluids may try to go through the original pore, and
>>if not, they will then go through the new alternative doctor-made pore?
>>
>>This was my first time with a bartholin infection.. i think the
>>Marsupialization i had in Europe was a very drastic measure..
>>
>>i do not think it was even done with the intention of leaving a new
>>hole, because yesterday when I asked the Ob who did it, she said "
>>THEORETICALLY the old pore duct (the one i was born with let's say)
>>should start working again."
>>
>>So apparently she doesnt know what the heck she is talking about.
>>
>>If the old pore(duct) is still there.. microscopic as it is, but still
>>there untouched after the MARSUP.. will it work again to secrete
>>fluids??
>
>No, the duct was blocked off (CLOSED with scar tissue) that is the
>problem.
>
>>I do not like this open looking skin crater.. I really want to fix
>>this. Is it possible to have some small plastic surgery there to
>>re-align it all together and stitch the crater to a closed look ??? I
>>want to close up this crate in about a month from now. and get it to
>>look like the other side again.
>>
>>Please advise. Sorry to ask so many things but you have no idea how
>>upset i am.
>>
>>At Tue, 25 Jun 2002, William McIntosh, MD wrote:
>>>>
>>>Well, first of all, at 18 days post-op, your marsupialization is not
>>>anywhere near finished healed, so you don't really know how it is going
>>>to turn out. The original duct of the Bartholin's Gland is microscopic
>>>and not repairable. The purpose of the marsupialization is to create an
>>>alternative outlet for the gland. It starts off quite large, but it
>>>quickly shrinks over several weeks to about the diameter of pencil lead.
>>>
>>>--
>>>William D. McIntosh, MD, FACOG
>>>
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