Surgical Treatment of Bartholin's Gland Abscess: Is Word Catheter Superior to Marsupialization?


Journal

Journal of minimally invasive gynecology
ISSN: 1553-4669
Titre abrégé: J Minim Invasive Gynecol
Pays: United States
ID NLM: 101235322

Informations de publication

Date de publication:
06 2021
Historique:
received: 05 11 2020
revised: 10 12 2020
accepted: 09 01 2021
pubmed: 19 1 2021
medline: 18 9 2021
entrez: 18 1 2021
Statut: ppublish

Résumé

Bartholin's gland abscess may occur in up to 2% of the women. Surgical drainage using the Word catheter application or marsupialization is the treatment of choice in the management of Bartholin's gland abscess. We aimed to compare the abscess recurrence rates between these 2 surgical methods. A retrospective cohort database study. A university-affiliated, high-volume teaching hospital in southern Israel. All women who were surgically treated for Bartholin's gland abscess. Different clinical and postoperative characteristics were retrieved from the patients' records. A univariate analysis was conducted, and p <.05 was considered significant. During the study period, 321 women were admitted to our center with Bartholin's gland abscess and were managed surgically. Of these, 215 (67%) were treated using the Word catheter and 106 (33%) by drainage and marsupialization. No differences were found in clinical and microbiologic features between the study groups. In addition, recurrence rates as well as recurrent admissions did not differ significantly. Postoperative complications were similar between the groups. Our study reassures that both the Word catheter application and marsupialization are appropriate and safe when treating Bartholin's gland abscess.

Identifiants

pubmed: 33460773
pii: S1553-4650(21)00034-0
doi: 10.1016/j.jmig.2021.01.006
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1211-1215

Informations de copyright

Copyright © 2021 AAGL. Published by Elsevier Inc. All rights reserved.

Auteurs

Reut Rotem (R)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Chagit Diamant (C)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Misgav Rottenstreich (M)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel. Electronic address: misgavr@gmail.com.

Maggie Goldgof (M)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Moshe Barg (M)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Noa Greenberg (N)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Boaz Sheizaf (B)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

Adi Y Weintraub (AY)

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem (Drs. Rotem, Rottenstreich, and Barg); Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva (Drs. Diamant, Goldgof, Greenberg, Sheizaf, and Weintraub), Israel.

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