A novel approach for resection of a vaginal septum.
BACKGROUND
The resection of a vaginal septum using the Harmonic Scalpel in a patient on anticoagulation is described.


METHODS
A 21-year-old female with bicollis didelphys uterus and a 4-cm vaginal septum underwent resection of the vaginal septum using the ultrasonic scalpel. Hemostasis was noted both during and after the procedure. The patient was given thombophylaxis for 2 weeks perioperatively secondary to her medical history of anti-thrombin III deficiency and deep venous thrombosis.


CONCLUSIONS
The use of the Harmonic Scalpel appears to be a safe and effective method for resection of vaginal septa. Patient healing time may vary and may take longer than with traditional techniques.
Rose
Susan M
SM
Department of Obstetrics and Gynecology, University of Utah Hospitals and Clinics, Salt Lake City, Utah, USA.
Peterson
C Matthew
CM
D020152:Antithrombin III Deficiency / Q000150:complications; D005260:Female; D006801:Humans; D014464:Ultrasonic Therapy / Q000295:instrumentation / Q000379:methods*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult