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Longitudinal Vaginal Septum Resection Using the Ligasure Device.

Abstract：

BACKGROUND: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.

journal_name

J Pediatr Adolesc Gynecol

journal_title

Journal of pediatric and adolescent gynecology

authors

Perez-Milicua G,Hakim J,Adeyemi O,Dietrich JE

doi

10.1016/j.jpag.2016.06.002

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

e95-e96

issue

6

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(16)30079-1

journal_volume

29

pub_type

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