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

J Pediatr Adolesc Gynecol

Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, University of Louisville School of Medicine, 550 S. Jackson St., Louisville, Kentucky, USA.

Published: December 2004

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.

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http://dx.doi.org/10.1016/j.jpag.2004.09.012DOI Listing

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