Abstract
Study ObjectiveTo evaluate the efficacy of CO2 laser treatment and parameters correlated with recurrence in patients with Bartholin gland abscesses treated using this approach. DesignProspective study (Canadian Task Force classification II-2). SettingUniversity hospital. PatientsOne hundred forty-seven patients who met eligibility criteria. InterventionPreoperative ultrasound evaluation of Bartholin gland lesions and CO2 laser treatment. Measurements and Main ResultsAll 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. ConclusionCO2 laser of Bartholin gland abscesses could be a valid option. Ultrasound characteristics of Bartholin gland lesions could predict lesion recurrence rate.
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