. Gynecology : . ection that otherwise is usually as-sociated with extensive vulvar excisions appears. OPERATIONS ON BARTHOLINS GLANDS Very acute abscesses of Bartholins glands sometimes require incision andevacuation of the pus. The incision in this case should always be made throughthe skin on the outer aspect of the enlarged gland rather than through themodified membrane on the vaginal side. After subsidence of the inflammatoryprocess the gland should always be removed by a radical dissection, as other-wise it is almost sure to give trouble later, either as a recurrent abscess or inthe form
. Gynecology : . ection that otherwise is usually as-sociated with extensive vulvar excisions appears. OPERATIONS ON BARTHOLINS GLANDS Very acute abscesses of Bartholins glands sometimes require incision andevacuation of the pus. The incision in this case should always be made throughthe skin on the outer aspect of the enlarged gland rather than through themodified membrane on the vaginal side. After subsidence of the inflammatoryprocess the gland should always be removed by a radical dissection, as other-wise it is almost sure to give trouble later, either as a recurrent abscess or inthe form of a cyst. Many of the abscesses of Bartholins glands when the in- OPEEATIONS ON THE VULVA 589 flammatory process is not violently acute can be excised without preliminaryincision, the decision as to this point being determined by the amount of infiltra-tion or involvement of the surrounding tissues. Cysts of Bartholins glands, even when small, should always be radicallyexcised, otherwise they are sure to
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