How to treat Bartholin gland cyst? It turns out there are two methods

Bartholin gland cyst is medically known as Bartholin gland cyst. It is a common disease in daily life and is very harmful to the health of the body. Therefore, how to treat Bartholin gland cyst has become a key topic of concern. In fact, Bartholin gland cyst can be treated with laser surgery and resection.

Bartholin's gland cyst is caused by obstruction of the Bartholin's gland duct and accumulation of secretions. After the acute inflammation subsides, the glandular duct is blocked and secretions cannot be discharged. The pus gradually turns into clear liquid and forms a cyst. Cysts can also be formed if the mucus in the glandular cavity is thick or there is congenital stenosis of the glandular duct and poor drainage. It may also be caused by damage to the Bartholin's glands, such as scars blocking the gland duct openings after perineal and vaginal lacerations during childbirth, or damage to the gland ducts during episiotomy.

Bartholin's gland cyst is caused by many reasons. Suffering from Bartholin's gland cyst will bring many symptoms to the patient. The occurrence of Bartholin's gland cyst is very harmful to human health, so Bartholin's gland cyst must be detected and treated early.

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 laser fiber (power 20W) to cut 0.5cm from the lowest point of the mass. Remove the contents of the cyst and clean and change the dressing of the drainage port every day.

Resection

The enlarged Bartholin's glands are removed. The surgery uses CO2 laser focusing (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.