The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
G. Willy Davila - One of the best experts on this subject based on the ideXlab platform.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics & Gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:BACKGROUND Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. CASE A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. CONCLUSION Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics and gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
Emily S. Zoulek - One of the best experts on this subject based on the ideXlab platform.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics & Gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:BACKGROUND Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. CASE A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. CONCLUSION Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics and gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
Deborah R. Karp - One of the best experts on this subject based on the ideXlab platform.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics & Gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:BACKGROUND Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. CASE A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. CONCLUSION Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
-
Rectovaginal fistula as a complication to a Bartholin Gland excision.
Obstetrics and gynecology, 2011Co-Authors: Emily S. Zoulek, Deborah R. Karp, G. Willy DavilaAbstract:Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin Gland. A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin Gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. Rectovaginal fistula can occur after excision of a Bartholin Gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
Ce Bian - One of the best experts on this subject based on the ideXlab platform.
-
post hysterectomy rare collision vulva tumor with long term human papilloma virus infection composed of squamous cell carcinoma of the labia major and adenosquamous carcinoma of Bartholin Gland a case report
Medicine, 2019Co-Authors: Fan Yang, Ce BianAbstract:RATIONALE Post-hysterectomy collision tumors of the vulva has rarely been reported. Though long-term HPV infection may induce vulva tumor, but the relationship between HPV infection and collision vulva tumor is not clear. And there are no clear rules of the post-hysterectomy cancer surveillance for human papilloma virus (HPV) long-term infections. So here we first report a case of post-hysterectomy rare collision vulva tumor with long-term HPV infection composed of squamous cell carcinoma of the labia major and adenosquamous carcinoma of Bartholin Gland and hope to bring new direction to our future research. PATIENT CONCERNS A 48-year-old woman with long-term HPV infection, 3 years after hysterectomy, gravida 3, para 2, was admitted to our hospital with complaints of a 4-month history of an itching vulva ulceration. An anabrosis was located on the surface of the solid mass of the Bartholin Gland at the posterior part of the right labium and the right inguinal lymph nodes were palpable. Result of the incisional biopsy of the ulcer area at local hospital was atypical squamous cells couldn't exclude high-grade squamous intraepithelial lesion (ASC-H). Subsequently more authoritative pathological consultation results suggested squamous cell carcinoma of the vulva. DIAGNOSES Post-hysterectomy collision vulva tumor with long-term HPV infection composed of squamous cell carcinoma of the labia major and adenosquamous carcinoma of Bartholin Gland. INTERVENTIONS The extensive excision of the vulva, bilateral inguinal lymph nodes dissection, and local skin flap transposition surgeon was done to this patient. The final certificate diagnosis was: vulvar tumor T1bM0N0 composed of squamous cell carcinoma of the labia major and adenosquamous carcinoma of Bartholin Gland; HPV infection; post hysterectomy, and bilateral salpingectomy. OUTCOMES The patient recovered well after surgery, and consequently received 6 courses of TC (paclitaxel + carboplatin) chemotherapy, and 9 months and 13 days followed up. So far patient recorded as complete response (CR). LESSONS Collision vulva tumor occurred post-hysterectomy is extremely rare. It is most likely related to long-term HPV infection, which suggests us should to modify the manner of the post-hysterectomy cancer surveillance for HPV long-term infections. For patients with high-risk HPV infection, even if the cytology results are negative, we may should perform colposcopy and vulva biopsy more positively to prevent the disease from progressing into cancer. And the pathogenesis of relationship between HPV infection and collision vulva tumor is still need further investigation.
Pierluigi Benedetti Panici - One of the best experts on this subject based on the ideXlab platform.
-
Bartholin Gland cancer
Critical reviews in oncology hematology, 2017Co-Authors: Violante Di Donato, Assunta Casorelli, Erlisa Bardhi, Flaminia Vena, Claudia Marchetti, Ludovico Muzii, Pierluigi Benedetti PaniciAbstract:Abstract Introduction Bartholin Gland carcinoma is an extremely rare condition. Because of its, phase III trials have not been carried out, there exists no unanimous consensus on treatment and guidelines are missing. Methods All studies reporting cases of Bartholin cancer were collected and screened for the evaluations. Baseline characteristics of studies were extracted and were queried in a database. Results A total number of 133 manuscripts collected were available for the review process, representing a total number of 275 reported cases. The histological type of Bartholin Gland cancer was specified in 90.4% cases: 30.7% cases were squamous cell carcinoma, 29.6% adenoid cystic carcinoma, 25% adenocarcinomas. At multivariate analysis adenocarcinoma histotype and positive lymph node were statistical correlated with worse prognosis. Conclusion Bartholin Gland cancer remains a challenge for gynecologic oncologists. To better understand and treat this disease, centralization to referral centers and design of multi institutional trials is crucial.
-
co2 laser treatment for Bartholin Gland abscess ultrasound evaluation of risk recurrence
Journal of Minimally Invasive Gynecology, 2013Co-Authors: Violante Di Donato, Assunta Casorelli, Claudia Marchetti, Filippo Bellati, Margherita Giorgini, Giorgia Perniola, Innocenza Palaia, Pierluigi Benedetti PaniciAbstract:Abstract Study Objective To evaluate the efficacy of CO 2 laser treatment and parameters correlated with recurrence in patients with Bartholin Gland abscesses treated using this approach. Design Prospective study (Canadian Task Force classification II-2). Setting University hospital. Patients One hundred forty-seven patients who met eligibility criteria. Intervention Preoperative ultrasound evaluation of Bartholin Gland lesions and CO 2 laser treatment. Measurements and Main Results All patients received CO 2 laser therapy, with median operative time 15 minutes (range, 12–35 minutes). Median postoperative stay was 1 hours (range, 1–4 hours). Estimated 3-year relapse-free rate was 88.56%. Lesion wall thickness 0.5–1.5 mm, multilocular lesion, and hyperechogenic lesion were correlated with recurrence. Conclusion CO 2 laser of Bartholin Gland abscesses could be a valid option. Ultrasound characteristics of Bartholin Gland lesions could predict lesion recurrence rate.
