Abstract
<h3>Study Objective</h3> To demonstrate a stepwise laparoscopic approach to patients with Mullerian anomalies. <h3>Design</h3> N/A. <h3>Setting</h3> Patient with a bicornuate uterus and right ovarian teratoma undergoing total laparoscopic hysterectomy, bilateral salpingectomy, and right oophorectomy. <h3>Patients or Participants</h3> The patient is a 35-year-old G5P0141 female with menorrhagia, pelvic pain, and a right ovarian teratoma undergoing definitive surgical management with a total laparoscopic hysterectomy, bilateral salpingectomy, and right oophorectomy. <h3>Interventions</h3> The hysterectomy started on the side that appeared more anatomically normal. On the contralateral side, the uterine artery was ligated at its origin. A ureterolysis was performed to safely detach the left uterine horn from the side wall. A partial amputation of the accessory horn allowed for completion of the hysterectomy. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> Since Mullerian anomalies are uncommon, it is important to have a framework when approaching hysterectomies in patients with Mullerian anomalies.
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