使用结扎速血管闭合系统行纵向阴道纵隔切除术。
Longitudinal Vaginal Septum Resection Using the Ligasure Device.
作者信息
Perez-Milicua Gisselle, Hakim Julie, Adeyemi Oluyemisi, Dietrich Jennifer E
机构信息
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
出版信息
J Pediatr Adolesc Gynecol. 2016 Dec;29(6):e95-e96. doi: 10.1016/j.jpag.2016.06.002. Epub 2016 Jun 16.
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.
CASE
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.
SUMMARY AND CONCLUSION
Our case introduces an innovative and safe alternative to the surgical management of a longitudinal vaginal septum, particularly useful in a confined surgical space.
背景
纵行阴道隔可能表现为非梗阻型或梗阻型。两者均可导致性交困难、难以置入卫生棉条、即使放置卫生棉条仍持续阴道出血以及痛经。有症状的病例需要进行手术矫正。
病例
我们报告一名16岁女性青少年，患有复杂泄殖腔畸形、双子宫、纵行阴道隔及其他先天性畸形。由于双侧阴道管腔狭小，患者月经期无法使用卫生棉条。我们使用Ligasure（美敦力公司，多拉尔，佛罗里达州）设备进行了纵行阴道隔切除术。我们顺利切除了阴道隔。
总结与结论
我们的病例介绍了一种创新且安全的纵行阴道隔手术管理替代方法，在有限的手术空间中尤为有用。
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