Resection of a non-communicating uterine horn with use of the harmonic scalpel

J Pediatr Adolesc Gynecol. 2004 Dec;17(6):407-9. doi: 10.1016/j.jpag.2004.09.012.


Background: Type IIA1b anomalies of the Mullerian system are rare. Traditionally, the method of treatment for such anomalies has been laparotomy.

Case: We discuss a case of this specific anomaly treated by resecting the non-communicating horn with the harmonic scalpel (Ethicon EndoSurgery, Cincinnati, Ohio) by first confirming a lack of communication with hysteroscopy, followed by chromotubation to demonstrate unilateral spill from the right side without leak from the area of dissection.

Conclusion: Minimally invasive techniques are an excellent alternative to laparotomy for correction of problems related to Mullerian anomalies.

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Hysteroscopy
  • Laparoscopy
  • Minimally Invasive Surgical Procedures
  • Ultrasonic Therapy / instrumentation*
  • Uterus / abnormalities*
  • Uterus / surgery