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CO2 laser treatment for Bartholin gland abscess: ultrasound evaluation of risk recurrence
Violante Di Donato1, Filippo Bellati, Assunta Casorelli
1Department of Gynecology and Obstetrics, University of Rome "Sapienza", V. le del Policlinico 155, 00161 Rome, Italy. violante.didonato@uniroma1.it
Study Objective:
To evaluate the efficacy of CO2 laser treatment and parameters correlated with recurrence in patients with Bartholin gland abscesses treated using this approach.
Design:
Prospective study (Canadian Task Force classification II-2).
Setting:
University hospital.
Patients:
One hundred forty-seven patients who met eligibility criteria.
Intervention:
Preoperative ultrasound evaluation of Bartholin gland lesions and CO2 laser treatment.
Measurements And Main Results:
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.
Conclusion:
CO2 laser of Bartholin gland abscesses could be a valid option. Ultrasound characteristics of Bartholin gland lesions could predict lesion recurrence rate.
