Marsupialization surgical treatment of cysts

Marsupialization is one of the methods of surgical cyst treatment. In gynecology, this procedure involves the treatment of Bartholin gland cyst abscess (gland secreting mucosa, located at the entrance to the vagina at the level of the lower 1/3 of the labia), resulting from the closure of the mucus discharge line from the gland.

Symptoms of Bartholin’s gland

inflammation painfulness of the intimate surroundings
bad mood weakness higher temperature

The treatment consists of incision of the cyst wall, emptying its contents and inserting the cut edges of the cyst wall into the mucosa to prevent it from being re-filled and closed. Marsupialization does not give 100% certainty that the treated abscess will never come back. If this happens, it is advisable to completely trim Bartholin’s gland. The procedure is performed in a short, intravenous general anesthesia and lasts about 10-15 minutes.

How to prepare for surgery?

The operation is preceded by a consultation visit. Before the procedure, the following tests should be performed (tests can be performed at our Clinic)

blood group
morphology
urinalysis
coagulogram – APTT, INR, PT
ECG after 40 years of age
HBS antigen
electrolytes
sugar level
Do not take the following medicines for 2 weeks before the planned treatment: aspirin or its derivatives (eg Acard), Vit.E and antitussive and anti-influenza drugs. These agents adversely affect the prolongation of bleeding during surgery.

You should limit smoking to 3-4 cigarettes a day for 3 days before surgery.

Inform the operator about the infection, if any, within 2 weeks before the planned surgery.

Postoperative period

Control visit should be held after 7 days from the surgery. The patient may experience little pain, which is alleviated both by over-the-counter painkillers and ketonal. It is important to have proper hygiene of intimate places – you should wash yourself twice daily for 7 days. Avoid wearing tight and synthetic underwear. Do not coexist up to 7 days after the procedure. Sutures used in the treatment are absorbable.

Meticulous adherence to postoperative recommendations is crucial in rapid recovery and significantly affects the final result of the operation.