Background

A longitudinal vaginal septum is a rare congenital anomaly that can cause dyspareunia, difficulty with tampon insertion, persistent vaginal bleeding, and dysmenorrhea. Various surgical techniques have been described.

Case

We present the case of a 14-year-old girl with obesity and diabetes mellitus with uterine didelphys and double vagina with a longitudinal vaginal septum. The patient presented with dysmenorrhea. Resection of the longitudinal vaginal septum using a GIA and EndoGIA (Medtronic, Inc, Doral Fl) stapler device was performed.

Summary and Conclusion

We introduce a safe and effective technique for resecting a longitudinal vaginal septum using stapler technology. This technique eliminates the potential risk of thermal injury to nearby structures from currently described methods.

中文翻译：

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使用外科缝合器切除阴道纵隔。

背景

阴道纵隔是一种罕见的先天性异常，可导致性交困难，棉塞插入困难，持续的阴道出血和痛经。已经描述了各种外科技术。

案件

我们介绍了一个14岁的女孩，患有肥胖和糖尿病，子宫双眼，双阴道，阴道纵隔均一。该患者出现痛经。使用GIA和EndoGIA（Medtronic，Inc，Doral Fl）吻合器对阴道纵向隔膜进行切除。

总结与结论

我们介绍一种使用订书机技术切除阴道纵向隔膜的安全有效技术。该技术消除了当前描述的方法对附近结构造成热伤害的潜在风险。