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.
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.
J Minim Invasive Gynecol. 2021 Jun;28(6):1211-1215. doi: 10.1016/j.jmig.2021.01.006. Epub 2021 Jan 15.
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.
巴氏腺脓肿在多达 2%的女性中发生。使用 Word 导管应用或袋形缝合术进行手术引流是巴氏腺脓肿治疗的首选方法。我们旨在比较这两种手术方法的脓肿复发率。
回顾性队列数据库研究。
以色列南部一所附属大学的大容量教学医院。
所有接受巴氏腺脓肿手术治疗的女性。
从患者记录中检索不同的临床和术后特征。进行单因素分析，p<.05 被认为具有统计学意义。
在研究期间，321 名女性因巴氏腺脓肿入住我们中心并接受手术治疗。其中，215 名（67%）接受 Word 导管治疗，106 名（33%）接受引流和袋形缝合术治疗。研究组之间在临床和微生物特征方面没有差异。此外，复发率和复发入院率也没有显著差异。两组术后并发症相似。
我们的研究证实，在治疗巴氏腺脓肿时，Word 导管应用和袋形缝合术都是合适且安全的。
