Laparoscopic Resection of a Non-Communicating, Functional Uterine Horn

Abstract

<h3>Study Objective</h3> To demonstrate a case of the surgical correction of a unicornuate uterus with a functional non-communicating horn connected by a thick, fibrous band <h3>Design</h3> A brief literature review and case report with demonstration of surgical technique <h3>Setting</h3> Operating Room environment <h3>Patients or Participants</h3> In this video, we explore a case of a post-menarchal 14-year-old patient who presents with severe dysmenorrhea. Imaging findings were consistent with a functional non-communicating uterine horn. <h3>Interventions</h3> Despite medical suppression, the patient required surgery for intractable pain. Indications for surgical management and preoperative considerations are outlined. The necessary preoperative imaging helped to prepare for surgical excision of the non-communicating uterine horn. <h3>Measurements and Main Results</h3> The ideal surgery includes 10 key surgical steps, including proper dissection of the retroperitoneum, use of blood-conserving strategies and delineation of the connecting band. Assessment for and treatment of any endometriosis can ensure optimal symptom management. <h3>Conclusion</h3> By identifying these patients early with appropriate imaging and through meticulous surgical planning, laparoscopic treatment is both possible and restorative.