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A novel approach for resection of a vaginal septum
Susan M Rose1, C Matthew Peterson
1Department of Obstetrics and Gynecology, University of Utah Hospitals and Clinics, Salt Lake City, Utah, USA.
Background:
The resection of a vaginal septum using the Harmonic Scalpel in a patient on anticoagulation is described.
Case:
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.
Summary And Conclusion:
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.
