Longitudinal Vaginal Septum Resection Using the Ligasure Device

详细信息    查看全文

• 作者：Gisselle Perez-Milicua ; MD ; Julie Hakim ; MD ; Oluyemisi Adeyemi ; MD ; Jennifer E. Dietrich ; MD ; MSc ; ^{jedietri@bcm.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Longitudinal vaginal septum ; Longitudinal vaginal septum
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：29
• 期：6
• 页码：e95-e96
• 全文大小：294 K

文摘

A longitudinal vaginal septum might present as a nonobstructive or obstructive type. Both can result in dyspareunia, difficult tampon insertion, persistent vaginal bleeding despite tampon placement, and dysmenorrhea. Surgical correction is warranted for symptomatic cases.

Case

We present a 16-year-old female adolescent with a complex cloacal anomaly, uterine didelphys, longitudinal vaginal septum, and other congenital anomalies. The patient was unable to use tampons during menses because of the small caliber on both vaginal canals. We performed a longitudinal vaginal septum resection using the Ligasure (Medtronic, Inc, Doral, FL) device. We were able to resect the vaginal septum without difficulty.

Summary and Conclusion

Our case introduces an innovative and safe alternative to the surgical management of a longitudinal vaginal septum, particularly useful in a confined surgical space.