Operational Obstetrics & Gynecology

Labial Abscess

A labial abscess presents as a firm, very tender, reddened, unilateral mass.

The mass arises from the upper portion of the labia, in contrast to Bartholin cyst abscesses which arise from the lower (inferior) portion of the labia.

Causes include infectious complications of trauma and infected skin glands.

Many of these will drain spontaneously, but a simple incision and drainage procedure will provide dramatic, immediate relief of symptoms. Make the incision through the thinnest portion of the abscess wall, but this will generally be in the inferior, medial aspect of the mass.

While antibiotics may be optional in a civilian setting, they are usually very desirable in an operational setting. Good choices include any antibiotic with reasonable effectiveness against common skin organisms (amoxicillin, cephalosporins, erythromycin, Azithromycin, clindamycin).

Complete resolution of symptoms and restoration of the normal anatomy is the expected outcome.

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Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMEDPUB 6300-2C
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

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