Marsupialization for Bartholin's Cysts: Procedure and Indications
Learn about marsupialization, a surgical technique used for Bartholin's cysts. Discover when it's indicated, the procedure involved, and post-operative considerations. Find out more about its role in managing Bartholin's cysts effectively.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
MARSUPIALIZATION MARSUPIALIZATION Facilitator: Pawin Puapornpong
Marsupialization Marsupialization Indication Indication1 1 - - Contraindication Contraindication2 2 - 1,2 . (2556). http://www.med.cmu.ac.th/dept/obgyn/2011/index.php?option=com_content&vi ew=article&id=1050:basic-gynecologic-procedures&catid=45&Itemid=561
Marsupialization Marsupialization Bartholin s Bartholin s cysts and abscesses cysts and abscesses1 1 The most common large cyst of the vulva is the Bartholin s cyst, which arises as a result of an obstruction of the duct. In premenopausal women, if it is asymptomatic and small, no treatment is required. If it is large, symptomatic or infected, it should be drained, and if there is any concern about malignancy it should be excised. 1 Tito Lopes, Nick M. Spirtos, Raj Naik, & John M. Monaghan. (2011). Bonney s Gynaecological Surgery (11th ed). Oxford: Wiley-Blackwell.
Marsupialization Marsupialization Bartholin Bartholin s s cysts and abscesses cysts and abscesses Incision and drainage Incision and drainage This is performed for the first episode of an acute abscess or for large or symptomatic cysts and will give immediate relief. Marsupialization Marsupialization If the cyst or abscess recurs despite the use of a gauze wick or Word catheter then marsupialization should be performed.
Marsupialization Marsupialization - 1 - 1 - 1 - 1 - Needle holder 1 - chromic catgut No 2/0 1 - syringe 10 ml 1 No 23, 24 18 - 1% Lidocaine 1 - Allis tissue forceps 1 - sponge holding forceps 1 - Arterial forceps 1 - 1 -
Marsupialization Marsupialization 1 1 1.1 1.2 1.3 1.4 (Labia minora) 1.5 1.6 1.7 1.8 (Lithotomy) 1.http://www.sunpasit.go.th/mecu/files/51_Marsupialization_of_Bartholin_cyst.pdf
Marsupialization Marsupialization 1 1 1. 2. 3. 4. 5. 1-2% Lidocaine mucosa 2 6. Labia minora 1. . (2556). http://www.med.cmu.ac.th/dept/obgyn/2011/index.php?option=com_content&vi ew=article&id=1050:basic-gynecologic-procedures&catid=45&Itemid=561
Marsupialization Marsupialization 7. mucosa hymenal ring 2-3 (elliptical incision) mucosa 1-1.5 2-3
Marsupialization Marsupialization
Marsupialization Marsupialization 8. normal saline solution 40 9. mucosa Interrupted stitch Delayed absorbable suture 3-0 4-0
Marsupialization Marsupialization
Marsupialization Marsupialization 4.1 - (Warm sitz baths) 3-5 - 3-4 4.2 - 4.3 4.4 4.5 1
Marsupialization Marsupialization 1. 2. 3.
