Obstructive mullerian anomalies and modern laparoscopic management.
OBJECTIVE
Congenital uterine anomalies are common, although the majority are asymptomatic. When an obstructed system exists, women may present with abdominal pain, or dysmenorrhea. Removal of the obstructed horn may be required in the symptomatic patient. In the past, surgical treatment necessitated a laparotomy.


METHODS
After preoperative diagnosis and planning using magnetic resonance imaging, laparoscopic removal of the obstructed uterine horn and tube was performed. Morcellation of tissue was used to permit removal through a 15mm port.


METHODS
A central London tertiary referral teaching hospital.


METHODS
15 women aged between 13 and 41.


METHODS
Between 1999 and 2005, all women underwent laparoscopic removal of the obstructed uterine horn and tube.


METHODS
Recovery, hospital stay, length of operation.


RESULTS
All women recovered well, with an operation time of 80 to 300 minutes and an average hospital stay of 5 days.


CONCLUSIONS
A laparoscopic approach is a safe and appropriate technique for the removal of an obstructed uterine horn.
Strawbridge
L C
LC
Department of Obstetrics and Gynaecology, Elizabeth Garrett Anderson Hospital, University College Hospital, Huntley Street, London, United Kingdom, WC1E 6AU.
Crouch
N S
NS
Cutner
A S
AS
Creighton
S M
SM
D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery*; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities / Q000601:surgery