Carbon-dioxide Laser Vaporization of the Bartholin Gland Cyst: A Retrospective Analysis on 200 Cases

Fambrini, Massimiliano; Penna, Carlo; Pieralli, Annalisa; Fallani, Maria Grazia; Andersson, Karin L.; Lozza, Virginia; Scarselli, Gianfranco; Marchionni, M

doi:10.1016/j.jmig.2008.02.005

Cited by 23 publications

(15 citation statements)

References 9 publications

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“…Other less invasive and cost-effective alternatives have been developed. Some authors advocate the use of the Word catheter, which is a safe and effective method (with recurrence rates of only 3%), but that requires patients to return at least twice for completing the treatment 3,4 . Other main disadvantages of this approach are that the catheter may be irritating and often dislodges or falls out before the tract is epithelialized.…”

Section: Discussionmentioning

confidence: 99%

“…Fambrini et al 4 reported in 2008 the largest case series on laser vaporization of Bartholin's gland cysts. In this retrospective analysis of 200 patients, there were nine (4.3%) cases of recurrent disease, with a minimal complication rate (1.5%).…”

Section: Discussionmentioning

confidence: 99%

“…Most common symptoms include pain, dyspareunia, fullness, and pressure or discomfort when sitting or walking 1 . Definite treatment is required not only to provide relief of symptoms but also to avoid the possibility of recurrent glandular abscesses 4 .…”

Section: Introductionmentioning

confidence: 99%

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Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Figueiredo¹,

Duarte²,

Gomes³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To evaluate the effectiveness, recurrence rate, and complications of carbon-dioxide laser vaporization in the treatment of Bartholin's gland cysts. METHODS: A retrospective study including 127 patients with symptomatic Bartholin' gland cysts submitted to carbon-dioxide laser vaporization at our institution from January 2005 to June 2011. Patients with Bartholin's gland abscesses and those suspected of having neoplasia were excluded. All procedures were performed in an outpatient setting under local anaesthesia. Clinical records were reviewed for demographic characteristics, anatomic parameters, intraoperative and postoperative complications, and follow-up data. Data were stored and analyzed in Microsoft Excel ® 2007 software. A descriptive statistical analysis was performed, and its results were expressed as frequency (percentage) or mean±standard deviation. Complication, recurrence, and cure rates were calculated. RESULTS: The mean age of the patients was 37.3±9.5 years-old (range from 18 to 61 years-old). Seventy percent (n=85) of them were multiparous. The most common symptom was pain and 47.2% (n=60) of patients had a history of previous medical and/or surgical treatment for Bartholin's gland abscesses. Mean cyst size was 2.7±0.9 cm. There were three (2.4%) cases of minor intraoperative bleeding. Overall, there were 17 (13.4%) recurrences within a mean of 14.6 months (range from 1 to 56 months): ten Bartholin's gland abscesses and seven recurrent cysts requiring reintervention. The cure rate after single laser treatment was 86.6%. Among the five patients with recurrent disease that had a second laser procedure, the cure rate was 100%. CONCLUSIONS: At this institution, carbon-dioxide laser vaporization seems to be a safe and effective procedure for the treatment of Bartholin's gland cysts.Resumo OBJETIVO: Avaliar a eficácia, a taxa de recorrência e as complicações da vaporização laser com CO 2 no tratamento dos cistos da glândula de Bartholin. MÉTODOS: Estudo retrospectivo com 127 pacientes que apresentavam cistos sintomáticos da glândula de Bartholin submetidas à vaporização laser CO 2 na nossa instituição de janeiro de 2005 a junho de 2011. Foram excluídas todas as pacientes com abcessos da glândula de Bartholin ou com suspeita de câncer. Todos os procedimentos foram realizados em regime ambulatorial, sob anestesia local. A coleta dos dados foi feita com base na consulta do processo clínico, tendo-se procedido à análise das características demográficas, dos parâmetros anatômicos, das complicações intra e pós-operatórias e dos dados de acompanhamento. Os dados foram armazenados e analisados no software Microsoft Excel ® 2007, e os resultados foram apresentados como frequência (porcentagem) ou média±desvio padrão. As taxas de complicações, recorrência e cura foram calculadas. RESULTADOS: A idade média das pacientes foi de 37,3±9,5 anos (variando entre 18 e 61 anos). Setenta por cento (n=85) delas eram multíparas. A queixa mais frequente foi dor e 47,2% (n=60) das pacientes tinham antecedente...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Figueiredo¹,

Duarte²,

Gomes³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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“…In Italy, this technique has been used by several authors, due to the ease of access to laser technology. 8 , 16 , 17 In Brazil, we note very little experience of laser use for marsupialization of the Bartholin cyst due to cost of the equipment. 5 Our organization, focused primarily on teaching in the medical field, is considered a reference in care of lower genital tract diseases.…”

Section: Discussionmentioning

confidence: 99%

“…As to the follow-up data after the procedure, the rate of cure with a single laser application was 95.7%, and repeating laser application was effective in cases of recurrence during follow-up. 17 …”

Section: Introductionmentioning

confidence: 99%

Treatment of Bartholin gland cyst with CO2laser

Speck

Boechat

Santos

et al. 2016

Einstein (São Paulo)

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Objective To describe the results of treatment with CO2 laser for Bartholin gland cysts.Methods Thirty-one women with Bartholin gland cysts were treated with CO2 laser at an outpatient´s setting. Skin incision was performed with focused laser beam, the capsule was opened to drain mucoid content, followed by internal vaporization of impaired capsule.Results There were no complications. Five patients had recurrence of the cyst and were submitted to a second and successful session.Conclusion CO2 laser surgery was effective to treat Bartholin gland cysts with minimal or no complications, and can be performed at an outpatient´s setting.

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Basic Gynecologic Procedures

Uy-Kroh

2014

Office-Based Gynecologic Surgical Procedures

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Carbon-dioxide Laser Vaporization of the Bartholin Gland Cyst: A Retrospective Analysis on 200 Cases

Cited by 23 publications

References 9 publications

Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Treatment of Bartholin gland cyst with CO2laser

Basic Gynecologic Procedures

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