Comparison of the effect of different ostomies on patients with Bartholin's cyst

Objective: To compare conventional ostomy and marsupialization ostomy in intraoperative blood loss, pain, and clinical symptom scores in patients with Bartholin's cyst.

Methods: A total of 136 patients with Bartholin's cyst admitted to our hospital were enrolled and assigned to a control group (Con group, n=62) and a research group (Res group, n=74). The former group was treated with conventional ostomy, while the later group was treated with marsupialization ostomy. The two groups were compared in clinical pain score, changes in clinical indexes after surgery, visual analog scale (VAS) score before and after surgery, recurrence rate, recovery of glandular function, and incidence of complications after surgery, efficacy, and treatment satisfaction.

Results: The Res group showed a more obvious alleviation in clinical symptoms than the Con group after surgery, suffered less intraoperative blood loss, experienced shorter operation time and hospital stay than the Con group (All P < 0.05). Additionally, after surgery, both groups showed a decrease in VAS score, and the decrease in the Res group was more notable (both P < 0.05). Moreover, compared with the Con group, the Res group showed a lower recurrence rate (P=0.045), better recovery of glandular function (P=0.035), a lower incidence of complications (P=0.023), a notably higher total effective rate (P=0.012), and notably higher treatment satisfaction (P=0.017).

Conclusion: Marsupialization ostomy can better alleviate the intraoperative blood loss and pain of patients with Bartholin's cyst and more effectively reduce their clinical symptoms score than the conventional ostomy.