Abstract
Video Objective Review noncommunicating uterine horns; incidence, diagnosis and surgical management. Demonstrate the steps needed to safely remove this type of horn using our 4 quadrant laparoscopic approach. Setting A 21 year old nulligravid female with severe dysmenorrhea and acute worsening pain, found to have a uterine malformation. MRI confirming a unicornuate uterus with American Fertility Society class II b malformation. Interventions A 4 quadrant laparoscopic approach, combining retroperitoneal dissection with myomectomy techniques, to safely remove the noncommunicating functional horn. Conclusion Even though rare, uterine abnormalities must be ruled out as a cause of continued female pelvic pain. Once a noncommunicating functional horn is diagnosed, principles used in laparoscopic hysterectomy and myomectomy can be combined to safely remove it. Our 4 quadrant laparoscopic technique allows both surgeon and assistant to actively participate in most minimally invasive gynecologic surgery in an ergonomic fashion.
Published Version
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