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December 31, 1927


Author Affiliations

San Francisco

JAMA. 1927;89(27):2257. doi:10.1001/jama.1927.92690270001007a

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The technic described below is offered to simplify the excision of Bartholin gland cysts by keeping the form of the tumor intact until the dissection is complete. This will obviate the deep incision sometimes necessitated when the cyst contents escape before the operation is completed and will keep the rather copious bleeding to a minimum.

With a syringe having a short 16 or 18 gage needle, the cyst contents are evacuated; the syringe is detached and the needle left in place. Then a second syringe filled with melted paraffin (melting point about 45 C.) is attached and enough paraffin injected to replace the fluid withdrawn. After the paraffin has hardened, the dissection will be found to be facilitated. A 10 or 20 cc. record syringe will hold enough heat to keep the paraffin fluid, and the syringe should be kept warm till needed. The addition of methylene blue or other

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