Marsupialization of Bartholin gland cyst or abscess

A vertical oval incision is made over the center of the cyst/abscess where it protrudes at the vestibule and outside the hymenal ring. The cyst cavity can be irrigated with saline solution, and loculations can be broken up with a hemostat, as needed. The cyst wall is then everted and sutured onto the edge of the vestibular mucosa with interrupted 2-0 absorbable suture.