Laparoscopic Hysterectomy and Resection of Vaginal Septum in a Patient with Bicollis Uterus

A 39 year old G0 with bicollis uterus and longitudinal vaginal septum presents for management of abnormal uterine bleeding. Transvaginal ultrasound with 3D reconstruction demonstrates an arcuate uterus, endocervical canal branching consistent with bicollis, and a longitudinal vaginal septum (Figure 1). The patient elected for definitive surgical management with total laparoscopic hysterectomy and desired vaginal septum resection. A uterine manipulator was placed in the larger cervix, and a Breisky-Navratril retractor was placed along the contralateral vaginal wall to delineate the smaller cervix.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research