title: Transverse Vaginal Septum With Secondary Infertility: A Rare Case.
abstract: To demonstrate the technique of laparoscopic vaginal reconstruction in a rare case of mid-vaginal septum with secondary infertility.
  
  
  
  A step-by-step explanation of the technique using videos and pictures (Canadian Task Force classification IV).
  
  
  
  Transverse vaginal septum is a rare condition, with an incidence of only 1 in 30,000 women. It is usually a congenital mullerian fusion defect; few cases of acquired septum have been reported. Roughly 40% of cases occur in the mid-vagina. Transverse vaginal septum typically presents with primary amenorrhea and hematocolpos. The goal of surgery is to create a patent vagina with restoration of fertility. The laparoscopic approach has proven superiority over the open technique.
  
  
  
  Laproscopic vaginal reconstruction was performed in a 24 year female with transverse vaginal septum. Dissection was done laproscopically up to mid vagina. Incision was given on vagina excising the septum followed by reconstruction.
  
  
  
  The laparoscopic approach to vaginal reconstruction avoids the abdominal incision, with its associated pain and possible adhesion formation. It also provides a better view for dissection. In this patient, a patent vagina was created in a single operation, with no postoperative dyspareunia, and fertility was restored.
authors.affiliation: Department of Obstetrics and Gynecology, Centre for Minimally Invasive Surgery, Sunrise Hospital, New Delhi, India.
authors.forename: Hafeez
authors.initials: H
authors.lastname: Rahman
authors.affiliation: Department of Obstetrics and Gynecology, Centre for Minimally Invasive Surgery, Sunrise Hospital, New Delhi, India. Electronic address: dr.trehan.nikita@gmail.com.
authors.forename: Nikita
authors.initials: N
authors.lastname: Trehan
authors.affiliation: Department of Obstetrics and Gynecology, Centre for Minimally Invasive Surgery, Sunrise Hospital, New Delhi, India.
authors.forename: Shuchita
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Obstetrics and Gynecology, Centre for Minimally Invasive Surgery, Sunrise Hospital, New Delhi, India.
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Goyal
mesh_terms: D000328:Adult; D000568:Amenorrhea / Q000209:etiology / Q000601:surgery; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000601:surgery; D004210:Dissection / Q000009:adverse effects / Q000379:methods; D005260:Female; D006399:Hematocolpos / Q000209:etiology / Q000601:surgery; D006801:Humans; D007194:India; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Laparoscopic reconstruction; Transverse vaginal septum