Bartholin Abscess Incision and Drainage
Infections, Inflammatory, Obstetrics and Gynecology
The Bartholin gland can form a cyst that can become infected. A loop drain can be placed instead of a Word catheter.
We used the soft tubing from a butterfly phlebotomy kit. Anesthetize the mucosal surface of the labia where you are going to make the incisions.
Make your first incision and place the wood side of a cotton-tipped applicator through.
Tent up the mucosa and make a second incision.
Push the cotton-tipped applicator through the second incision so it is going in and out of the cyst cavity.
Remove the cotton-tipped applicator and weave the loop drain through on a preloaded hemostat.
Express any remaining pus. Tie the ends together and trim the excess tubing.
Alternatively, you can preload the tubing with suture thread and tie the ends together to form a loop. The loop drain allows for epithelialization of the tract, which can be removed in approximately 3 weeks.
The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of patients in the emergency department. This summary was produced by the BC Emergency Medicine Network and uses the best available knowledge at the time of publication. However, healthcare professionals should continue to use their own judgment and take into consideration context, resources and other relevant factors. The BC Emergency Medicine Network is not liable for any damages, claims, liabilities, costs or obligations arising from the use of this document including loss or damages arising from any claims made by a third party. The BC Emergency Medicine Network also assumes no responsibility or liability for changes made to this document without its consent.
Last Updated Jan 24, 2022
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