Sutureless Excision of Benign Bartholin’s Gland Cyst using Hydrodissection and Bipolar Forceps Haemostasis

Author(s): Ramkrishna Purohit, Jay Gopal Sharma, Devajani Meher, Rupam Sarkar

Aim: To avoid recurrence and scarring following surgical treatment, the present study demonstrated a sutureless excision of the Bartholin’s gland cyst or abscess using hydro-dissection and bipolar coagulation hemostasis.

Materials and methods: In a retrospective case series, we studied consecutive cases who had received surgical treatment of the Bartholin’s gland cyst or abscess for benign indications in our private hospital.

Results: Of the total 28 cases, Seven cases received incision and drainage of the Bartholin’s abscess, 21 cases underwent excision of Bartholin’s cyst or abscess by the described procedure using hydro-dissection and bipolar coagulation haemostasis.No suture was used for layer closure of the wound. There were no major intraoperative complications. All cases experienced less postoperative pain. Spontaneous apposition of the vaginal wound margins was observed 24 hours after operation in all cases. None of the cases developed a postoperative hematoma, severe cellulitis, or abscess of the operation site requiring readmission. Postoperative-ly, five cases developed postoperative pyrexia, that sub-sided with broad-spectrum antibiotics. None of the cases developed severe postoperative scarring at the operation site following sutureless excision. None of the cases complained of difficulty in sexual function after 6 weeks. The median operation time was 17 min (13–23 min). None of the 21 cases reported recurrence of the cyst or abscess. All those seven cases who received incision and drainage of Bartholin’s abscess developed recurrence.

Conclusion: Sutureless excision of Bartholin’s gland cyst using hydro-dissection with bipolar coagulation hemostasis can be performed to avoid postoperative scarring and recurrence.