Complete longitudinal vaginal septum resection. Description of a bloodless new technique

Abstract

Purpose of investigation:To describe a novel approach for longitudinal vaginal septum (LVS) resection. Materials and Methods: Two cases of young girls with a uterus didelphys and a longitudinal vaginal septum. The technique consisted in grasping the vaginal septum with a laparoscopic 33-cm long bipolar cutting forceps, five-mm in diameter, and divided it to its midportion towards the two cervices. Results: In both cases, the procedure was straightforward, uncomplicated, completed within three minutes and the patients were discharged four hours later. It was associated with minimal blood loss, short recovery time, absence of local ischemia, and optimum healing process. Conclusion: The authors believe that surgical safety, efficacy and operative result make bipolar cutting forceps a tailored option for LVS resection.

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

“…Then there's electroresection, which is probably used most frequently nowadays. Finally, there are many innovative methods using different instruments described such as laparoscopic long bipolar forceps, harmonic scalpel, LigaSure (Medtronic Inc., Doral, FL), GIA, and Endo GIA device (11)(12)(13)(14). In critical cases, with the development of acute kidney failure, bladder injury, urinary leakage into the abdominal cavity, or other abdominal complications, laparotomy is recommended (15).…”