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

Fertil Steril. 2005 Feb;83(2):432-6. doi: 10.1016/j.fertnstert.2004.07.966.


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.

MeSH terms

  • Adolescent
  • Adult
  • Dysmenorrhea / etiology
  • Dysmenorrhea / surgery
  • Female
  • Humans
  • Hysterectomy / methods*
  • Laparoscopy*
  • Pelvic Pain / etiology
  • Pelvic Pain / surgery
  • Uterus / abnormalities*
  • Uterus / surgery*