DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Left Bartholin gland abscess.
POSTOPERATIVE DIAGNOSIS: Left Bartholin gland abscess.
OPERATION PERFORMED: Marsupialization of left Bartholin gland abscess.
SURGEON: John Doe, MD
ASSISTANT: Jane Doe, MD
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Negligible.
COMPLICATIONS: None.
INDICATIONS FOR OPERATION AND OPERATIVE FINDINGS: The patient was seen in the office one day prior to admission, at which time a large Bartholin gland cyst was appreciated and extended the cyst approximately 4 cm. Due to the largeness of the Bartholin gland, it was decided that office intervention was not indicated. Thus, the patient was admitted for incision and drainage and marsupialization. Examination under anesthesia again noted a left Bartholin gland abscess, approximately 4 cm. Once the abscess opened, a purulent type material was appreciated, and cultures and sensitivities were forwarded to microbiology.
DESCRIPTION OF OPERATION: The patient was brought to the operating room in stable condition and placed on the operating room table in the dorsal supine position. The patient was then administered general anesthesia without difficulty. The patient was then repositioned in the dorsal lithotomy position. Exam under anesthesia was performed. The findings on examination are delineated above. The patient was then perineally prepped and draped.
With the use of an 11 blade, an incision was made in the mucocutaneous junction, approximately 1 cm. This allowed the purulent material to exit the cavity. Cultures were taken of this material. The Bartholin gland cavity was then copiously irrigated with sterile saline. Once this was performed, then marsupialization was accomplished with a 3-0 Vicryl continuous stitch. This stitch was continuous and of an interlocking fashion.
At the conclusion of the marsupialization, the site was hemostatic. The patient was then repositioned to the dorsal supine position and awakened from general anesthesia. The patient was transferred to the stretcher and taken to the postanesthesia recovery unit in good condition. There were no complications associated with this procedure.
