TITLE:
“Management of Bartholin Cysts and Abscess” in a Tertiary Care Centre, Jeddah, Saudi Arabia
AUTHORS:
Hassan S. O. Abduljabbar, Abdullah K. Agabawi, Maryam H. Habib, Sondos Alturkistani, Ayman M. Oraif
KEYWORDS:
Bartholin, Management, Cysts, Abscess, Marsupialization, Excision
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.12,
September
30,
2018
ABSTRACT: Objective: To analyse all cases of Bartholin glands pathology
(cysts and abscess), and identify the different variable affecting the method
of management with Marsupialization or excision. Methods: This study is a cross-sectional retrospective
analysis of all cases of Bartholin cysts and abscess admitted and managed at
KAUH, from January 2017 to December 2017. Results: 48 patients were analysed: age (32.60 ± 9.9), parity, BMI (26.9 ± 4.98). Out of 48 patients, 25 (52.1%) were diagnosed as Bartholin cysts and 23 (47.9%) as Bartholin abscess. 72.9%
(35) patients were managed with Marsupialization, and only 27.1% ended with
excision. Comparing age in years, parity and BMI in the cases managed by Marsupialization with
those with excision, the only statically significant difference was found in the parity. When comparing the important factors collected, younger subjects less
than 35 years old, never being pregnant and BMI less than 30 had more Marsupialization than
excision. But age .
Abscess and non-recurrent had more Marsupialization but were statistically not significant. Other factors, past medical and surgical
history and type of anaesthesia were the same in both groups. Logistic
regression performed using the dependent variable for Marsupialization rather
than excision with different covariant categorised variable, age less than 35,
single, abscess, non-recurrent, and BMI less than 30 (Table 2). Age less than 35 and BMI less than 30 were