Bartholinitis surgery procedure

Surgical treatment of Bartholinitis can be said to be a relatively common and effective method. You should also learn more about the lengthy surgical procedures. The main purpose is to drain the pus through surgical incision of the abscess. You should also pay attention to proper care after the operation.

1. Incision

The labia minora is everted, and a longitudinal incision is made from the weak part of the cyst protrusion at the junction of the skin and mucosa on the outside of the root of the hymen. The length depends on the size of the cyst, and is generally 0.5 to 1 cm away from the upper and lower ends of the cyst. The mucosa and cyst wall are cut open (Figure 11.1.2.3.1-1). Drain the contents (for bacterial culture if it is pus) and flush the cyst cavity with saline.

2. Suture

Use forceps to lift and evert its edges, so that the surrounding mucosal incision edges are aligned, and use 2-0 chromic gut or 4-0 silk thread for interrupted sutures (Figure 11.1.2.3.1-2). The turned-over cyst wall completely covers the wound edge of the vaginal vestibule mucosa, forming a new glandular duct opening in the center of the stoma to prevent the glandular duct opening from reclosing. Place vaseline or saline gauze in the wound cavity for drainage, and cover the wound with sterile gauze (if it is an abscess, no suture is necessary).

3. Comparison with conventional electrosurgical knife or ring electrode resection

Using an ordinary electric knife or a ring electrode (EEP) to partially remove the cyst wall at the junction of the skin and mucosa can also achieve a similar effect. In comparison, this method causes less bleeding, shortens the operation time, and allows for smoother drainage.

IV. Postoperative Treatment

1. You can go home to rest and move around freely.

2. Remove the drainage gauze 24 hours after the operation.

3. Keep the vulva clean and take a warm water sitz bath twice a day for 20 minutes each time. After defecation, take a sitz bath with 1/5000 furacilin solution or 1/5000 potassium permanganate solution and then change the dressing.

4. For those who have undergone silk sutures, the sutures should be removed one week after the operation. Follow-up should be conducted once a week thereafter, and forceps should be used to explore the cavity to maintain patency and prevent the stoma from re-closing. This should be done 4 to 6 times in total.