Laparoscopic resection of a noncommunicating, rudimentary uterine horn using the harmonic scalpel: a report of 3 cases

Abstract

Background: Noncommunicating, rudimentary uterine horns are often removed to prevent potential pregnancy complications or to treat patients who develop pain from functional endometrium within the horn. Historically, these have been removed via laparotomy. Recently, resections of noncommunicating uterine horns have been performed laparoscopically using many different devices. We report 3 patients who underwent laparoscopic resection using the harmonic scalpel.

Cases: Three patients were diagnosed with this condition at our institution between 2000 and 2003. All underwent laparoscopic resection using the harmonic scalpel without complications. All patients were discharged from the hospital on the day of surgery. Two patients subsequently had term vaginal deliveries.

Conclusion: Resection of a rudimentary uterine horn by laparoscopy using the harmonic scalpel is an option for patients diagnosed with noncommunicating, rudimentary uterine horns. This modality might offer some advantages for patients who must undergo resection.