Laparoscopic drainage of hematocolpos: a new treatment option for the acute management of a transverse vaginal septum.
OBJECTIVE
To describe a novel technique for the acute management of a transverse vaginal septum with hematocolpos.


METHODS
Retrospective case series.


METHODS
Secondary- and tertiary-care centers in Australia and New Zealand.


METHODS
Three patients with a transverse vaginal septum presenting with pain and a hematocolpos.


METHODS
Laparoscopic drainage of the hematocolpos.


METHODS
Pain relief until definitive resection of the transverse vaginal septum.


RESULTS
All patients were free of pain after the procedure. Two patients had a second laparoscopic procedure to drain the hematocolpos which had reaccumulated while awaiting definitive surgery. All three patients have undergone resection of the septum.


CONCLUSIONS
Laparoscopic drainage provides a novel approach to the acute management of a transverse vaginal septum, providing pain relief without compromising the success of definitive surgery which can be performed at a later date.
Dennie
Joëlle
J
Department of Obstetrics and Gynecology, Victoria General Hospital, Victoria, British Columbia, Canada.
Pillay
Sunil
S
Watson
David
D
Grover
Sonia
S
D000293:Adolescent; D001315:Australia; D002648:Child; D004322:Drainage / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006399:Hematocolpos / Q000150:complications / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009520:New Zealand; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*