Bartholin Abscess Incision and Drainage

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The Bartholin gland can form a cyst which 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.

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