Re: DR BRAUN -- Thank you One more question please --Re: TECHNICAL QUESTION regarding repairing the vaginal introitus after a Horrible Marsupialization
From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 26 Jun 2002 13:26:15 -0500 (CDT)
At Wed, 26 Jun 2002, Connie wrote:
>
>I didnt quite understand what you meant by the duct was closed off by
>SCAR tissue..?? what scar tissue.
>From the original nfection. An infection in the duct is what causes the
duct to close and a cyst to form behind the closure site.
>
>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
>>>>
--
R.Daniel Braun, MD FACOG FOG
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