Is electrosurgery fulguration a better procedure for Bartholin’s gland cyst?

Abstract

SUMMARY OBJECTIVE To evaluate the effectiveness of electrosurgery fulguration as a treatment for Bartholin’s gland cysts. DESIGN Retrospective study with a comparative control group performed on Hospital Brigadeiro and in the Disciplina de Ginecologia do Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo from February 2005 to March 2009. Patients: Patients with Bartholin’s gland cyst were divided into three treatment groups: group 1 electrosurgery (n=169 cases); group 2 - gland excision with the conventional technique using a cold scalpel (n = 51 cases); group 3 - marsupialization (n=11 cases). We reviewed the clinical and surgical history, physical examination, description of the surgical technique, postoperative results (success and complications), and follow-up data. RESULTS There is no difference between groups in relation to intraoperative bleeding, hematoma, and complete healing in a single treatment session. However, electrosurgery shows the lower percentage of recurrences 18 (10,7%) compared to the Marsupialization technique (group 3, p=.031). Recurrences occurred in 18 (10,7%), 3 (5,9%), and 4 (36,4%) cases. After retreatment by the same technique, there was a complete cure rate of 90% (152/169) for group 1, and 98% (50/51) for group 2. The cost of group 1 was lower than that of other groups. CONCLUSION The fulguration with electrosurgery of the capsule of Bartholin’s cyst is an effective method of treatment, andthe cost of this technique is lower than the conventional technique and marsupialization.

Recurrent Bartholin's Cyst: Literature Review and Case Report

“…Fulguration with electrosurgery of Bartholin's cyst capsule is an effective treatment method, and the treatment cost of this technique is lower than that of conventional techniques and marsupialization (19). jurnal.umj.ac.id/index.php/MMJ mmjfkk@umj.ac.id e-issn: 2721-317X…”

Abscesses and cysts of Bartholin's gland - contemporary problems of active women

“…Excision of the gland should be considered when treating patients 40 years of age or older. On the other hand, in pregnant women with Bartholin's abscesses, treatment should be the same as in the rest of patients, except for a gland excision due to an increased risk of bleeding [1,5,[34][35][36][37][38].…”