What are the treatments for Bartholin's cyst? Introducing scientific therapy!

The so-called Bartholin's cyst refers to the Bartholin's gland cyst, also known as the Bartholin's gland cyst. The main patient group is women. At the beginning, because the cyst is very small and there is no infection, there are no obvious symptoms. As the disease worsens, the patient will have an obvious feeling of heaviness and discomfort during sexual intercourse. So how should this disease be treated?

1. Laser surgery:

Treatment includes cystostomy and cystectomy. Ostomy is suitable for larger cysts and those with recurrent acute attacks; resection is suitable for cysts with infection. For larger cysts, select the lowest point and use CO2 laser focusing (power 25W) to cut the skin 0.5cm, or use ND:YAG laser fiber (power 20W) to cut 0.5cm from the lowest point of the tumor. Remove the contents of the cyst and clean and change the dressing of the drainage port every day.

2. Resection:

The enlarged Bartholin's glands are removed. CO2 laser focusing for surgery (power above 25W). The operation was performed strictly according to routine disinfection and sterile dressing. Use local anesthesia (1% lidocaine); spare instruments include a skin clamp and a mastoid retractor. The laser is focused along the skin lines to cut the skin, and the curved hemostat is used to assist in the cyst wall peeling. The skin is cut without cutting the cyst wall. A retractor is used to expand the incision, and the curved hemostat is used to protect along the cyst wall. The laser output power is adjusted according to the situation of the incision into the cyst wall to gradually peel off the cyst wall. After the entire cyst was peeled off, the remaining carbonized tissue in the wound was flushed with sterile saline, the retractor was removed, and sutured from the inside to the outside without leaving any dead space. The stitches on the wound will be removed after 7 to 10 days. Observe the incision every day after surgery. If the wound is wetted by urine, the dressing should be changed promptly. After resection of a smaller cyst, the skin incision can be sutured and covered with a sterile dressing for protection. After the operation, a double-layer condom can be used to make a special air bag, which can be inserted into the vagina and then inflated appropriately. Pay attention to the gas capacity and change it every day or every other day until the cyst walls are in contact with each other. Each time the vaginal balloon is inserted, it must be sterile to prevent infection. The balloon is removed after 7 to 10 days. After many tests, only the incision is sutured and the balloon is used to expand and compress the balloon wall for repair, which is also effective and the patient does not feel any discomfort.

3. Reasons

1. The Bartholin's gland duct is blocked due to non-specific inflammation;

2. In a few cases, the glandular duct is cut off during episiotomy during childbirth;

3. Vagina during childbirth. Laceration of the lateral perineum. Caused by severe scar tissue.