How to completely squeeze out the contents when a Bartholin's cyst ruptures

Jan 13, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
A ruptured Bartholin's cyst can be treated with surgical drainage; self-squeezing may lead to inflammation and infection. After the procedure, it is essential to maintain cleanliness of the external genitalia to prevent local infection, and ensure adequate drainage of cyst fluid. It is recommended to seek treatment at a正规 hospital and undergo the procedure under the guidance of a qualified physician. If any discomfort occurs, prompt medical attention is advised.

If a Bartholin's cyst ruptures, surgical drainage is recommended. Squeezing it manually may lead to inflammation and infection. The procedure should be performed at a正规 hospital under professional care, with the following specific steps:

1. Before surgery, tests including complete blood count, blood type, coagulation function, and vaginal discharge examination are conducted to confirm the patient’s suitability for the procedure.

2. After confirming no abnormalities, the patient lies supine on the examination table, exposing the surgical site. The doctor disinfects the external genital skin and covers the area with sterile surgical drapes.

3. Local infiltration anesthesia is administered at the predetermined incision site on the cyst.

4. Once anesthesia takes effect, a cold scalpel is used to make a 0.5 to 1 cm longitudinal incision at the skin-mucosa junction. The incision extends deep into the cyst wall, allowing thorough drainage and complete emptying of the cyst fluid.

5. After draining the fluid, the cyst cavity is irrigated with metronidazole. Once cleaned, the cyst wall is sutured to the surrounding skin and mucosa at the 3, 6, 9, and 12 o'clock positions to create a permanent drainage pathway.

6. The patient’s vital signs, surgical wound, and ECG are monitored. The procedure concludes once no abnormalities are observed.

After surgery, it is important to maintain genital hygiene to prevent local infection and ensure adequate drainage of any remaining fluid. It is strongly recommended to undergo the procedure at a正规 hospital under the guidance of a qualified physician. If any discomfort occurs, prompt medical attention is advised.