Surgical treatment steps for Bartholin's gland cyst

If the Bartholin's gland cyst is severe and affects normal life, then surgical treatment should be considered to resolve the problem as quickly as possible to reduce the impact of these diseases. Pay attention to private health and hygiene to avoid bacterial infection.

Bartholin's gland cystectomy is used for the surgical treatment of Bartholin's gland cyst. The Bartholin's glands are located in the lower 1/3 of the labia majora on both sides and are susceptible to infection due to their anatomical location. Inflammation often occurs in women of childbearing age and is often caused by multiple bacterial infections. The infection is mostly unilateral. In the acute phase, there is local redness, swelling and pain, obvious tenderness, accompanied by systemic fever and swollen inguinal lymph nodes.

Surgical procedures

1. Incision

The labia minora is turned outward, 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, generally 0.5 to 1 cm away from the upper and lower ends of the cyst. The mucosa and cyst wall are cut open.

2. Stripping and removal of cyst

Lift the edge of the mucosal incision and use the knife handle or fingers to peel off the connective tissue between the cyst wall and the mucosa, from shallow to deep, until the bottom of the cyst. Be careful not to tear the cyst wall and vaginal mucosa. After the cyst is partially peeled out, lift it with your left hand to facilitate peeling. If there is adhesion, use scissors for sharp separation. Because of the branches of the labia majora and veins passing through, the deeper part has rich blood supply. If there is bleeding, it must be ligated in time to stop the bleeding. When peeling to the bottom, the root of the cyst should be clamped, cut off, and ligated to completely remove the cyst.

3. Suturing submucosal tissue

After the cyst is removed, carefully check the residual cavity for bleeding and use 2-0 chromic gut to perform interrupted sutures to avoid leaving dead cavity and forming hematoma. Place a rubber drain if necessary. If the residual cavity is close to the urethra or rectum, catheterization or rectal examination should be performed after suturing to check for damage.

4. Suturing the incision

Excess mucosa is trimmed and aligned, and then interrupted sutures are performed with 4-0 silk or absorbable sutures. Leave the urinary catheter in place, cover it with sterile gauze and compress it with a cotton pad.