The bartolinectomia is the surgical removal of the glands of Bartholin, which is usually indicated when the function, they are too often clogged, causing the cysts and abscesses. For this reason, it is common for the doctor to just indicate this when no other treatment is much less invasive work, such as the use of antibiotics, and drainage of the cyst, or the marsupialização of the glands of Bartholin.
Bartholin’s glands are located at the entrance to the vagina on either side of the labia minora, and you are responsible for the release of a fluid lubricant. When these glands become irritated or infected, it can cause blockage of the gland and the fluid buildup inside the gland, resulting in the formation of a cyst of a Bartholin’s or abscess. Here are some other causes and common symptoms of a cyst of a Bartholin.
The bartolinectomia is made by the doctor in the hospital, general anesthesia, and the recovery is rapid, and it is recommended to avoid close contact, by some of the trintas days, as well as to prevent the use of the tampon, for example.
When it is displayed
The bartolinectomia it is indicated in cases of recurrent inflammation of the glands of Bartholin, such as a cyst of Bartholin’s or bartolinite.
Generally, this surgery is recommended when other treatments have not been effective in alleviating the symptoms of, or prevent the recurrence of the cyst or abscess, such as the use of antibiotics, and drainage of the cyst, or the marsupialização of the glands of Bartholin, that is, the creation of a permanent opening in the glans, in order to prevent it from being an obstruction.
How to prepare for surgery
Some care is important to prepare yourself for the bartolinite, such as:
- Verify with your doctor any questions you may have about the surgery , recovery, and risks;
- To inform the physician of all medications , vitamins and nutritional supplements that you take often, it can affect your recovery.
- Tell the doctor about the use of drugs blood thinners , such as warfarin, heparin, rivaroxabana, or aspirin, as the doctor may recommend discontinue these medications for a few days before the surgery;
- Know if you have any allergies or other health problem);
- Avoid smoking and drinking alcohol prior to the surgery;
- Don’t shave your intimate area prior to the surgery;
- To make the absolute fast for about 6 to 8 hours before surgery, as directed by the physician;
- Taking a medication commonly used, usually with very little water, as directed by a physician.
- Also avoid taking medicines that have not been directed by the physician , including home remedies, and herbal teas;
- Do not use it as earrings , watches, piercings , or in any other fashion jewelry on the day of the surgery.
In addition, prior to performing the surgery, the doctor will take the risk of surgery and blood tests to assess your general state of health.
How is the surgery
The bartolinite is made by the doctor in the hospital, under general anesthesia for the removal of the glands of Bartholin, and it usually lasts an average of 1 hour, and it is usually stated that the woman remains in hospital in hospital for 2 or 3 days.
Prior to the start of the surgery, it was administered saline solution into the vein by a nurse, to help hydrate, and to administer the drugs, and also to have the surgery to make a general anaesthetic.
During the surgery, the doctor makes a cut in the small lip, which is located in the glands of Bartholin, in order to completely remove the gland and its duct. Then, the data points are in place, you do not need to be removed for it to be absorbed by the body.
Care during recovery.
Some concerns that are important to the recovery from the surgery is that of bartolinectomia, and the main ones are:
- Take the medicine at the required times, as directed by the physician;
- Do not drive or perform tasks that require some concentration at 48 hours after a general anaesthetic;
- Back home for about 2-3 days;
- Avoid sexual intercourse for at least 4 weeks;
- Do not use a tampon as long as 4 weeks
- Use tampons for external in the first 4 weeks:
- Do not perform physical exercises in the first three to four weeks
- Do not use the products for free on the site, which have additives, fragrance;
- Not to rub it in the intimate area;
- Make a, free, intimate , usually in warm water with mild soap;
- To keep the intimate area clean and dry.
These precautions are very important for the healing process to occur correctly, and in order to reduce the risk of complications after surgery.
Possible complications
The major complications of the surgery, the bartolinectomia are bleeding, bruising, infection, local, and pain and swelling in the area.
In addition to this, as in all of the procedures using general anesthesia, it can lead to post-operative complications such as abdominal pain, nausea, vomiting, decreased blood pressure, shivering or shaking, for example.
Another complication that can arise from a reduction in the lubrication of the vagina, due to the removal of the glands of Bartholin the elder, and in some cases, there is some discomfort during intimate contact.
