Laparoscopic removal of the cavitated noncommunicating rudimentary uterine horn: surgical aspects in 10 cases

Objective: To report our experience on laparoscopic resection of the cavitated noncommunicating rudimentary horn in 10 patients with unicornuate uterus. Design: Descriptive study. Setting: A tertiary referral center for the treatment of female genital malformations. Patient(s): Ten consecutive patients operated between 1994 and 2002. Intervention(s): Laparoscopic removal of the rudimentary uterine horn. Main Outcome Measure(s): Operating time, intraoperative and postoperative complications, relief of symptoms at a 6-month follow-up. Result(s): Median operating time was 65 minutes (range 40-92 minutes) with neither intraoperative nor postoperative complications. All patients were discharged within 72 hours from the procedure. Clinical follow-up during 6 months showed a marked improvement of symptoms. Conclusion(s): Laparoscopy proves to be an effective surgical, approach for the removal of the cavitated., noncommunicating rudimentary horn in patients with unicornuate uterus. (Fertil Steril(R) 2005;83:432-6.