Human Reproduction, Vol. 14, No. 4, 931-933,
April 1999
© 1999 European Society of Human Reproduction and Embryology
Case Report: Laparoscopic surgery of unicornuate uterus with rudimentary uterine horn
1 Département de Gynécologie Obstétrique Reproduction Humaine et Médecine F
tale, CHU Bretonneau, F-37044, Tours Cedex, and
2 Service de Gynécologie-Obstétrique, Hôpital `Robert Debré', F37403, Amboise Cedex, France
This report describes a new procedure for laparoscopic treatment of non-communicating rudimentary uterine horn when attached to the contralateral unicornuate uterus by a band of tissue. A retrograde dissection with primary bipolar coagulation and section of the band of tissue enables primary occlusion of the main blood supply. In our opinion, this new approach may prevent bleeding during laparoscopic dissection of the rudimentary horn and may avoid myometrial injury of the resting unicornuate uterus.
Key words: laparoscopy/rudimentary uterine horn/unicornuate uterus