{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:11:39Z","timestamp":1784121099536,"version":"3.55.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,21]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>An early adolescent girl was referred to us with cryptomenorrhoea, and pelvic pain consistent with obstructed menstruation. Originally presumed to be a case of imperforate hymen, she was referred to our centre after two failed surgical misadventures at correcting the obstruction. MRI revealed a haematometrocolpos, high transverse complete vaginal septum and an occluded vagina. She underwent a laparoscopic drainage of the collection, septal resection and a vaginoplasty with an absorbable Interceed graft. Postoperative recovery was smooth and she was sent with instructions to use a vaginal mould daily. Successful surgical treatment requires precise preoperative planning with MRI. A vaginal-assisted laparoscopic approach turned out to be advantageous in resecting the septum to a large extent due to the associated cicatrised vagina. The use of Interceed, a novel mould and harnessing system, ensured a favourable postoperative outcome by bolstering patient motivation due to its less challenging technique of use.<\/jats:p>","DOI":"10.1136\/bcr-2023-257180","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T12:05:55Z","timestamp":1709640355000},"page":"e257180","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["High imperforate transverse vaginal septum with vaginal cicatrisation: a surgical tribulation"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4523-7437","authenticated-orcid":false,"given":"Jyothi","family":"Shetty","sequence":"first","affiliation":[{"name":"Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 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