Finger-assisted laparoscopy to remove a noncommunicating uterine horn.
A 21-year-old-woman had a double uterus with noncommunicating right uterine horn and communicating left uterine horn. The pelvic cavity showed evidence of endometriosis and adhesions from previous laparotomy. A finger was inserted under laparoscopic observation without gas leakage through an iris access port in the lower abdominal wall, which required only a small incision. An index finger was adequate to separate and manipulate inflamed tissue and to assess a connection of horns.
Terada
Y
Y
Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Seiryo-machi, Sendai 980-8574, Japan.
Murakami
T
T
Noda
T
T
Okamura
K
K
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000601:surgery*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*