Coring‐type laparoscopic resection of a cavitated non‐communicating rudimentary horn under hysteroscopic assistance
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This study describes a laparoscopic coring-type resection of a non-communicating rudimentary uterine horn assisted by hysteroscopy to aid dissection and potentially strengthen the remaining myometrial scar.
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Abstract
Non-communicating accessory uterine horns with an endometrial cavity are the most common and clinically significant unicornuate subtype of Müllerian duct abnormality. They are generally associated with symptoms of dysmenorrhea, dyspareunia, infertility, endometriosis, adhesions, and life-threatening cornual pregnancy. Treatment options include surgical resection of the rudimentary horn, hysteroscopic recanalization, and endometrial ablation. Currently, laparoscopic resection is the recommended treatment choice. Dissection of the rudimentary horn from the unicornuate uterus is the most challenging part of this procedure and may compromise the remaining unicornuate uterus wall. Here we describe a case of laparoscopic coring-type resection of a non-communicating functional rudimentary horn firmly attached to the unicornuate uterus, by using hysteroscopic assistance. The use of hysteroscopy, adjunct to laparoscopy, facilitates the coring-type resection and may strengthen the remaining myometrial scar.
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Cites (4)
- Laparoscopic management of unicornuate uterus with rudimentary horn and unilateral extensive endometriosis 1990
- Anatomical variation in the rudimentary horns of a unicornuate uterus: implications for laparoscopic surgery 1997
- Laparoscopic amputation of a noncommunicating rudimentary horn after a hysteroscopic diagnosis: a case study. 1994
- Hysteroscopic and laparoscopic guided miniaccess hemihysterectomy for non-communicating uterine horn 2001
Cited by (1)
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Cited by (1)
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:18:22.440000+00:00
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