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CO2 Laser Treatment for Bartholin Gland Abscess: Ultrasound Evaluation of Risk Recurrence

2013; Elsevier BV; Volume: 20; Issue: 3 Linguagem: Inglês

10.1016/j.jmig.2012.12.003

1553-4669

Violante Di Donato, Filippo Bellati, Assunta Casorelli, Margherita Giorgini, Giorgia Perniola, Cláudia Marchetti, Innocenza Palaia, Pierluigi Benedetti Panici,

Pelvic floor disorders treatments

To evaluate the efficacy of CO2 laser treatment and parameters correlated with recurrence in patients with Bartholin gland abscesses treated using this approach.Prospective study (Canadian Task Force classification II-2).University hospital.One hundred forty-seven patients who met eligibility criteria.Preoperative ultrasound evaluation of Bartholin gland lesions and CO2 laser treatment.All patients received CO2 laser therapy, with median operative time 15 minutes (range, 12-35 minutes). Median postoperative stay was 1 hours (range, 1-4 hours). Estimated 3-year relapse-free rate was 88.56%. Lesion wall thickness 0.5-1.5 mm, multilocular lesion, and hyperechogenic lesion were correlated with recurrence.CO2 laser of Bartholin gland abscesses could be a valid option. Ultrasound characteristics of Bartholin gland lesions could predict lesion recurrence rate.