Carbon-dioxide laser vaporization of the Bartholin gland cyst: a retrospective analysis on 200 cases.

Fambrini, Massimiliano; Penna, Carlo; Pieralli, A.; Fallani, M.; Andersson, K.; Lozza, V.; Scarselli, Gianfranco; Marchionni, Mauro

doi:10.1016/j.jmig.2008.02.005

Study Objective: To evaluate the effectiveness of carbon-dioxide laser vaporization as definitive treatment for Bartholin gland cyst. Design: Retrospective analysis (Canadian Task Force classification II-3). Setting: University teaching hospital. Patients: A consecutive series of 200 patients with monolateral or bilateral Bartholin gland cyst. Interventions: A standardized technique of cyst vaporization performed by carbon-dioxide laser in outpatient setting and local anesthesia. Measurements and Main Results: Records of all patients were reviewed for anamnestic information, anatomic parameters, intraoperative and postoperative outcomes, and follow-up data. Seven patients having bilateral cyst were treated in a single session; 207 procedures were performed. The cyst mean size was 6.3 _ 2.3 cm (95% CI 5.93– 6.67). All treatments were completed in outpatient regimen and local anesthesia with a median operative time of 17 minutes (range: 7–45). Three (1.5%) cases of intraoperative major bleeding were observed. The cure rate of a single laser treatment was 95.7%. The 9 patients with recurrent disease observed during follow-up underwent carbon-dioxide laser reintervention by the same therapeutic strategy with a 100% cure rate after 2 or 3 treatments. Conclusion: Carbon-dioxide laser vaporization of Bartholin gland cyst represents a safe and effective procedure with complete healing and positive follow-up outcomes. Further randomized trials should be conducted to confirm these findings and to establish the best surgical strategy. Journal of Minimally Invasive Gynecology (2008) 15, 327–331 © 2008 AAGL. All rights reserved.

trova@unifi

Titolo:	Carbon-dioxide laser vaporization of the Bartholin gland cyst: a retrospective analysis on 200 cases.
Autori di Ateneo:	FAMBRINI, MASSIMILIANO PENNA, CARLO A. Pieralli M. Fallani K. Andersson V. Lozza SCARSELLI, GIANFRANCO MARCHIONNI, MAURO mostra contributor esterni nascondi contributor esterni
Autori:	FAMBRINI, MASSIMILIANO; PENNA, CARLO; A. Pieralli; M. Fallani; K. Andersson; V. Lozza; SCARSELLI, GIANFRANCO; MARCHIONNI, MAURO
Data di pubblicazione:	2008
Rivista:	JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume:	15
Pagina iniziale:	327
Pagina finale:	331
Abstract:	Study Objective: To evaluate the effectiveness of carbon-dioxide laser vaporization as definitive treatment for Bartholin gland cyst. Design: Retrospective analysis (Canadian Task Force classification II-3). Setting: University teaching hospital. Patients: A consecutive series of 200 patients with monolateral or bilateral Bartholin gland cyst. Interventions: A standardized technique of cyst vaporization performed by carbon-dioxide laser in outpatient setting and local anesthesia. Measurements and Main Results: Records of all patients were reviewed for anamnestic information, anatomic parameters, intraoperative and postoperative outcomes, and follow-up data. Seven patients having bilateral cyst were treated in a single session; 207 procedures were performed. The cyst mean size was 6.3 _ 2.3 cm (95% CI 5.93– 6.67). All treatments were completed in outpatient regimen and local anesthesia with a median operative time of 17 minutes (range: 7–45). Three (1.5%) cases of intraoperative major bleeding were observed. The cure rate of a single laser treatment was 95.7%. The 9 patients with recurrent disease observed during follow-up underwent carbon-dioxide laser reintervention by the same therapeutic strategy with a 100% cure rate after 2 or 3 treatments. Conclusion: Carbon-dioxide laser vaporization of Bartholin gland cyst represents a safe and effective procedure with complete healing and positive follow-up outcomes. Further randomized trials should be conducted to confirm these findings and to establish the best surgical strategy. Journal of Minimally Invasive Gynecology (2008) 15, 327–331 © 2008 AAGL. All rights reserved.
Handle:	http://hdl.handle.net/2158/343921
Appare nelle tipologie:	1a - Articolo su rivista

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