Dr. Gabor is PGY-4 Resident, Columbia University Medical Center, New York, New York.
Dr. Mattingly is from Novant Health Pelvic Health & Surgery, Winston-Salem, North Carolina.
Dr. Kim is Assistant Clinical Professor of Obstetrics and Gynecology at Columbia University, College of Physicians and Surgeons in the Division of Gynecologic Surgical Services.
Dr. Advincula is Levine Family Professor of Women’s Health; Vice-Chair, Department of Obstetrics & Gynecology; Chief of Gynecology, Sloane Hospital for Women; and Medical Director, Mary & Michael Jaharis Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital. He serves on the OBG MANAGEMENT Board of Editors.
Dr. Advincula reports serving as a consultant to ConMed, CooperSurgical, Intuitive Surgical, and Titan Medical and receiving royalties from CooperSurgical. The other authors report no financial relationships relevant to this article.
Anatomy and pathologies review followed by surgical technique
Bartholin gland cysts comprise up to 2% of all outpatient gynecology visits each year1 and are a common consult for trainees in obstetrics and gynecology. Although excision of a Bartholin gland cyst is a procedure performed infrequently, knowledge of its anatomy and physiology is important for ObGyn trainees and practicing gynecologists, especially when attempts at conservative management have been exhausted.
Before proceeding with surgical excision, it is important to understand the basics of Bartholin gland anatomy, pathologies, and treatment options. This video demonstrates the excisional technique for a 46-year-old woman with a recurrent, symptomatic Bartholin gland cyst who failed prior conservative management. I hope that you will find this video from my colleagues beneficial to your clinical practice.