Marsupialization of vulvovaginal (Bartholin) cysts

Jacobson, Philip

doi:10.1016/0002-9378(60)90365-3

Cited by 19 publications

(5 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1950, Jacobson was the first to describe the technique of marsupialisation, in which sutures are placed between the wall of the cyst and skin, thus creating a new outflow tract consisting of the cyst wall . The procedure was initially performed in the operating room under general anaesthesia but it can also be performed with local anaesthesia or a pudendal block …”

Section: Introductionmentioning

confidence: 99%

“…A main issue in the treatment of the cyst or abscess of Bartholin is the recurrence rate. Previous authors have compared different treatments of a cyst or abscess of the Bartholin gland in two systematic reviews reporting on nine case series ( n = 561), one retrospective cohort study ( n = 58), and two small, randomised controlled trials ( n = 32 and n = 38) . Recurrence rates varied between 0 and 13% for marsupialisation and between 3 and 17% for Word catheter.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan‐trial): a randomised clinical trial

Kroese

Velde

Morssink

et al. 2016

BJOG

View full text Add to dashboard Cite

This randomised controlled trial (RCT) by Kroese et al. tackles an interesting, common gynaecological condition of significant clinical importance. It is original work as the previous RCTs (Ander-sen et al. Acta Obstet Gynecol Scand 1992;71:59-62; Gennis et al. Am J Emerg Med 2005;23:414-15) were small, and not as well designed. When appropriately designed, conducted and reported, RCTs represent the reference standard in evaluating healthcare interventions. This RCT demonstrated that in women with an abscess or cyst of the Bartholin gland, treatment with Word catheter or marsu-pialisation resulted in comparable recurrence rates. Median time from ran-domisation to treatment was 3 hours shorter for Word catheter than for mar-supialisation. Maximal and average pain experienced during treatment were both higher in the Word catheter group compared with marsupialisation. However, pain scores after treatment were comparable , although those women undergoing marsupialisation required more analgesia during the first postoperative day. There are obviously other confounding factors affecting the recurrence rate, such as diabetes. How did the authors address that issue and was there any trend difference in the diabetic group? In other words, in a woman with diabetes how can the authors reliably make inferences that the recurrence is method/technique-related and not attributed to her dia-betes? This RCT is well designed, conducted and adequately implemented the Consolidated Standards of Reporting Trials recommendations (CONSORT) (Schulz, et al. BMJ 2010;340:c332). One of these recommendations is that the trial's results be discussed in light of the totality of the available evidence. There is explicit reference in the discussion to the results of the systematically conducted , published review of previously reported studies, explaining why the current study was justified. I agree with the authors' statements that the strengths of this RCT are the following. 1. The multicentre design within 19 hospitals reflects daily practice, and allows generalisation of the results. 2. A robust follow up, exclusion criteria and follow-up strategy have been conducted. However, I am not sure why women under 18 years were excluded, not under 16 years for instance. I wonder whether the latter would have expedited the recruitment and shortened the duration of the study (2010-14)? 3. The sample size calculation meant that the RCT is adequately powered to result in meaningful conclusions. 4. Statistical analysis was performed according to the intention-to-treat principle. This RCT also adapts the proposal by Docherty et al. (BMJ 1999; 318:1224-5) stating the main results, the strengths and limitations, interpretation/ comparison with the previous reviews/ RCTs and literature, but could have elaborated further on implication on clinical practice. The authors stated that 'In our opinion, our data therefore favour treatment of a Bartholin cyst or abscess with a Word catheter since this is the fastest procedure, relieving pain sooner after diagnosis,...

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan‐trial): a randomised clinical trial

Kroese

Velde

Morssink

et al. 2016

BJOG

View full text Add to dashboard Cite

show abstract

“…O cálculo das taxas de recidiva e complicações associadas à marsupialização foi efetuado em relação ao número de procedimentos realizados nas mulheres incluídas, posto que algumas foram submetidas à intervenção bilateral em tempos distintos. (JACOBSON, 1960).…”

Section: Materiais E Métodosunclassified

“…Isso reforça os resultados de outros estudos onde a taxa de recidiva de PB e AB após marsupialização é consideravelmente menor, em relação àquela encontrada nos casos tratados apenas com incisão e drenagem (DOWNS;RANDALL, 1989;OLIPHANT;ANDERSON, 1960).A marsupialização pode ser a primeira linha de tratamento, não só pela facilidade de poder ser realizada no consultório, como por suas vantagens e sua segurança. Um método rápido, com duração média de 25 minutos, com anestesia local ou bloqueio do nervo pudendo, sem contra-indicações para gestantes e custo-efetivo tanto para PB como para AB primários ou recorrentes, com rápida recuperação sem interferência nas atividades cotidianas, desde que realizada por uma equipe médica habilitada(JACOBSON, 1960;OMOLE;SIMMONS;HACKER, 2003). Além disso, é possível preservar a função da glândula de Bartholin em pacientes que em sua maioria estão no menacme com vida sexual ativa e idade reprodutiva (MARZANO; HAEFNER, 2004).CONCLUSÃOConcluímos que no perfil epidemiológico observou uma maior frequência de mulheres no menacme e baixa frequência de IST.…”

unclassified

Sucesso na abordagem terapêutica do pseudocisto da glândula de Bartholin com marsupialização: estudo de coorte retrospectivo

et al. 2021

View full text Add to dashboard Cite

Objetivos: analisar o resultado da abordagem terapêutica do pseudocisto da glândula de Bartholin (PB) com marsupialização, além de avaliar a história pregressa dessas mulheres. Materiais e Métodos: estudo de coorte baseado na análise de prontuários de mulheres com diagnóstico de PB atendidas no ambulatório de patologia vulvar no Instituto de Ginecologia da Universidade Federal do Rio de Janeiro (IG-UFRJ), entre janeiro de 2000 a dezembro de 2016. Analisou-se as seguintes variáveis: marsupialização uni ou bilateral, complicações associadas ao procedimento, taxa de recidiva e tempo decorrido entre o intervenção e a recidiva, seguimento, idade, história prévia de PB ou abscessos de Bartholin (AB) e infecções sexualmente transmissíveis. A análise estatística foi descritiva, usando o software Statistic Package for the Social Sciences (SPSS), versão 23. Resultados: foram atendidas 244 mulheres com PB. Dentre essas, 140 mulheres com 150 PB no total foram incluídas. Recidiva ocorreu em 7,33% (11/150). Não houve intercorrências intraoperatórias e a taxa de complicações pós-operatórias foi de 4,67% (7/150). Das 244 mulheres selecionadas, 90,98% (22/244) tinham menos de 50 anos de idade, 78,69% (192/244) relataram PB ou AB prévios, 41% (100/244) referiram pelo menos uma drenagem anterior. Conclusão: observou-se sucesso na abordagem terapêutica na maioria dos procedimentos. A maior prevalência foi em mulheres com idade inferior a 50 anos e com história prévia de PB ou AB.

show abstract

“…Marsupialization provides another technique Commentary for treating Bartholin's cysts and abscesses which requires only one attendance and which involves little or no discomfort. It was first described by Jacobson (1960) who reported a recurrence rate of only 2.8%. After a simple incision of the cyst, the cut edge of the lining and that of the labial skin were sutured together.…”

Section: O M M E N T a R Ymentioning

confidence: 99%

Methods of treatment for cysts and abscesses of Bartholin's gland

Heah

1988

BJOG

View full text Add to dashboard Cite

Marsupialization of vulvovaginal (Bartholin) cysts

Cited by 19 publications

References 1 publication

Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan‐trial): a randomised clinical trial

Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan‐trial): a randomised clinical trial

Sucesso na abordagem terapêutica do pseudocisto da glândula de Bartholin com marsupialização: estudo de coorte retrospectivo

Methods of treatment for cysts and abscesses of Bartholin's gland

Contact Info

Product

Resources

About