Longitudinal Vaginal Septum Resection Using the Ligasure Device.
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.


METHODS
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.


CONCLUSIONS
Our case introduces an innovative and safe alternative to the surgical management of a longitudinal vaginal septum, particularly useful in a confined surgical space.
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Gisselle
G
Perez-Milicua
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Julie
J
Hakim
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Oluyemisi
O
Adeyemi
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas. Electronic address: jedietri@bcm.edu.
Jennifer E
JE
Dietrich
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D004412:Dysmenorrhea / Q000209:etiology; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008026:Ligation / Q000295:instrumentation; D014564:Urogenital Abnormalities / Q000150:complications / Q000601:surgery*; D014592:Uterine Hemorrhage / Q000209:etiology; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*
Longitudinal vaginal septum