Objective: To report our experience on laparoscopic resection of the cavitated noncommunicating rudimentary horn in 10 patients with unicornuate uterus.
Design: Descriptive study.
Setting: A tertiary referral center for the treatment of female genital malformations.
Patient(s): Ten consecutive patients operated between 1994 and 2002.
Intervention(s): Laparoscopic removal of the rudimentary uterine horn.
Main outcome measure(s): Operating time, intraoperative and postoperative complications, relief of symptoms at a 6-month follow-up.
Result(s): Median operating time was 65 minutes (range 40-92 minutes) with neither intraoperative nor postoperative complications. All patients were discharged within 72 hours from the procedure. Clinical follow-up during 6 months showed a marked improvement of symptoms.
Conclusion(s): Laparoscopy proves to be an effective surgical approach for the removal of the cavitated noncommunicating rudimentary horn in patients with unicornuate uterus.