. Gynecology : . becomesclean and granulating. In the recurrent type, where the inflammatory process ismilder, the gland can be excised entire without spilling the pus until the last cutis made across the duct. This is preferable to evacuating the abscess first,because the gland after being emptied collapses and the dissection of the sac isrendered more difficult. A description of the operation for Bartholinitis isgiven on page 588. 186 GYNECOLOGY Between the recurrences of inflammation the gland usually regresses in sizeto such an extent that it can hardly be felt on palpation. It is better n


. Gynecology : . becomesclean and granulating. In the recurrent type, where the inflammatory process ismilder, the gland can be excised entire without spilling the pus until the last cutis made across the duct. This is preferable to evacuating the abscess first,because the gland after being emptied collapses and the dissection of the sac isrendered more difficult. A description of the operation for Bartholinitis isgiven on page 588. 186 GYNECOLOGY Between the recurrences of inflammation the gland usually regresses in sizeto such an extent that it can hardly be felt on palpation. It is better not tooperate during this stage, as it is difficult to find the gland during dissection anddifferentiate it from surrounding tissues. An operation at this time is apt toresult in considerable mutilation, with the possibility of leaving some of thegland structure behind. It sometimes happens that the inflammatory process in the gland entirelysubsides, leaving the duct occluded. Secretions of the glandular cells may. • 9 $>


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