Treatment of Bartholin's cyst and abscess: excision versus silver nitrate insertion

Mungan, Tamer; Uğur, Mustafa; Yalçin, Hakan; Alan, Şükrü; Sayilgan, Alparslan

doi:10.1016/0301-2115(95)02229-z

Cited by 34 publications

(12 citation statements)

References 12 publications

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“…Eight randomised trials, reporting data from 699 women, met our inclusion criteria ( Figure 1). [11][12][13][14][15][16][17][18] Included randomised trials evaluated eight different interventions including marsupialisation, 11,12,15,16,18 incision, drainage and insertion of a Word catheter, 13,15 and incision, drainage and silver nitrate insertion 14,17,18 ( Table 1). The included randomised trials were relatively small, ranging from 22 to 212 women (median 44 women).…”

Section: Resultsmentioning

confidence: 99%

“…14 Three randomised trials were conducted in high-income settings, including Denmark, 11 the Netherlands, 15 and the USA, 13 whereas the others were conducted in low-and middle-income countries, including Jamaica 12 and Turkey. 14,[16][17][18] Two randomised trials reported data from 70 women with an abscess of the Bartholin's gland. 11,13 The remaining six randomised trials reported data from 629 women with a symptomatic cyst or abscess of the Bartholin's gland.…”

Section: Resultsmentioning

confidence: 99%

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Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Stocking

Showell

Kirk

et al. 2020

BJOG

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Background No consensus on the management of symptomatic cysts or abscesses of the Bartholin’s gland exists. Objectives To assess the effectiveness and safety of surgical interventions for a symptomatic Bartholin’s cyst or abscess. Search Strategy We searched bibliographical databases from inception to April 2019. Selection Criteria Randomised trials evaluating a surgical intervention for the treatment of a symptomatic Bartholin’s cyst or abscess. Data Collection and Analysis Eight trials, reporting data from 699 women, were included. Study characteristics and methodological quality were recorded for each trial. Summary estimates were calculated using random‐effects methods. Main Results When considering the recurrence of a symptomatic Bartholin’s cyst or abscess, the evidence was consistent with notable effects in either direction (risk ratio [RR] 0.76; 95% confidence interval [CI] 0.41–1.40) when comparing marsupialisation with incision, drainage and insertion of a Word catheter. Limited inference could be made when comparing marsupialisation with incision, drainage and silver nitrate insertion (RR 1.00; 95% CI 0.57–1.75), and incision, drainage and cavity closure (RR 0.25; 95% CI 0.01–4.89). There was limited reporting of secondary outcomes, including haematoma, infectious morbidity and persistent dyspareunia. Conclusions Current randomised trial evidence does not support the use of any single surgical intervention for the treatment of a symptomatic cyst or abscess of the Bartholin’s gland. Prospective Registration PROSPERO: International Prospective Register of Systematic Reviews; CRD42018088553. Tweetable Abstract Further research is needed to identify an effective treatment for #Bartholin’s cyst or abscess. @jamesmnduffy

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Stocking

Showell

Kirk

et al. 2020

BJOG

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“…[20][21][22] It is reported that the silver nitrate rods are successfully applied for the cauterization of genital Bartholin cysts; the silver nitrate particles are left within the cyst, as in the present study, and debrided after 48 hours. [23][24][25] In our cases, curettage was performed 1 minute after the application, and then the debris and the chemical residues were washed with saline. The pleurodesis formation effect of silver nitrate during thoracic surgery has been found to be better than the talk powder, and its efficacy in bronchopleural fistulas has been investigated as well.…”

Section: Discussionmentioning

confidence: 99%

Silver Nitrate Cauterization for Anal Fistulas with High Blind Tract Chemical Therapy in Complicated Anal Fistulas

Demırel¹,

Köklü²

2013

Euroasian Journal of Hepato-Gastroenterology

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Aim:The efficiency of a chemical cauterization technique in the treatment of high blind tracts, which are important causes of recurrence in anorectal fistula, were investigated. Materials and methods:Fifteen patients underwent surgery for low perianal fistula with high blind tracts. Partial fistulectomy and cutting seton technique was performed on all patients. The high blind tracts were cauterized by silver nitrate particles and the surgical area was left for secondary healing. The follow-up duration was 6 months to 1 year. The anal continence was evaluated according to the Wexner score.Results: Four of the 15 patients were female, whereas 11 were male. Ages ranged between 17 and 67 years. While 11 participants were primary cases, four were recurrent. Nine of the fistula tracts were intersphincteric and five were transsphincteric and one case had horseshoe fistula. The mean wound healing duration was 5.5 weeks. Mild anal incontinence (Wexner score = 3) was recorded in one case and recurrence was observed in another. Conclusion:Cauterization with silver nitrate is a new treatment method for high blind tract in anal fistulas. It is a safe and noninvasive method that reduces recurrences and surgical complications.

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“…La marsupialisation a l'inconvénient d'exposer davantage aux douleurs cicatricielles [12,20,21] ; • d'autres techniques ont été décrites : mise en place d'un cathéter de Word (ballonnet gonflable introduit après incision et laissé en place pendant un mois), application intracavitaire de nitrate d'argent, fenestration large de la paroi de l'abcès, vaporisation au laser CO 2 , curetage intracavitaire. Toutes ces méthodes, illustrées par de petites séries dans la littérature, ne sont pas validées pour la pratique quotidienne [22][23][24][25][26] ; • dans tous les cas, il conviendra d'effondrer les logettes intracavitaires pour éviter tout cloisonnement, de réaliser un prélèvement bactériologique, et un lavage antiseptique abondant. Nous insistons également sur l'importance d'une couverture antibiotique peropératoire couvrant les germes du tractus digestif et que n'ont pas reçue les patientes de nos observations.…”

Section: Prise En Charge Chirurgicaleunclassified

“…Les complications à court terme consistent en l'apparition d'hématome (jusqu'à 8 %), et de sepsis secondaire (jusqu'à 24 %). Les séquelles à long terme sont représentées par des dyspareunies et des douleurs au niveau du tissu cicatriciel [23].…”

Section: Ablation De La Glande De Bartholinunclassified