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Longitudinal Vaginal Septum Resection Using the Ligasure Device
Gisselle Perez-Milicua1, Julie Hakim1, Oluyemisi Adeyemi1
1Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Journal of Pediatric and Adolescent Gynecology
|June 21, 2016
Summary
Surgical correction of a longitudinal vaginal septum using the Ligasure device offers a safe and effective solution for symptomatic patients, particularly those with complex congenital anomalies. This method facilitates easier tampon use and improved menstrual management.
Area of Science:
- Gynecology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Longitudinal vaginal septa, obstructive or nonobstructive, can cause dyspareunia, menstrual difficulties, and tampon use issues.
- Surgical intervention is indicated for symptomatic presentations of this congenital anomaly.
Observation:
- A 16-year-old female adolescent presented with uterine didelphys, a longitudinal vaginal septum, and complex cloacal anomalies.
- The patient experienced menses-related challenges due to the narrow vaginal canals, hindering tampon use.
Findings:
- A longitudinal vaginal septum resection was successfully performed using the Ligasure device.
- The procedure was technically straightforward, even within a confined surgical area.
Implications:
- This case highlights the Ligasure device as an innovative and safe surgical approach for longitudinal vaginal septum resection.
- The technique is particularly beneficial for managing complex cases involving congenital anomalies and confined surgical spaces, improving patient quality of life.
Keywords:
Longitudinal vaginal septum
