title: Reproductive and obstetric outcome after laparoscopic excision of functional, non-communicating broadly attached rudimentary horn: a case series.
abstract: OBJECTIVE
  To present the reproductive and obstetric outcome after laparoscopic excision of functional, non-communicating broadly attached rudimentary horn.
  
  
  METHODS
  As a part of a retrospective study performed over the past 21 years to determine the reproductive and obstetric outcome after laparoscopic treatment for symptomatic non-communicating rudimentary horn, we identified seven women who became pregnant after laparoscopic removal of the broadly attached rudimentary horn. The main outcome measures were reproductive outcome, preterm birth, mode of delivery, birth weight, pregnancy-induced hypertension, antenatal bleeding and presence of other congenital anomalies.
  
  
  RESULTS
  Infertility was present in 3 out of 8 cases (37.5%), although in 2 of them other confounding infertility factors existed. Seven out of 8 patients conceived, 2 of them by assisted reproduction techniques. All patients had a preterm delivery at 33 weeks of gestation (32.5±2.4) by cesarean section due to pregnancy-induced hypertension (3 cases), IUGR (one case), contractions and hemorrhage (one case), while two were elective. The mean weight of infants was 1897±607.8 g. Pregnancy-induced hypertension was observed in 3 and antenatal vaginal bleeding occurred in 5 patients. All infants are alive with no apparent congenital anomaly.
  
  
  CONCLUSIONS
  This case series confirms that pregnancies in women after laparoscopic excision of broadly attached rudimentary horns should be considered as high-risk ones and should be managed accordingly to ensure a satisfactory obstetric outcome.
authors.affiliation: Centre for Endoscopic Surgery "Diavalkaniko" Hospital, Thessaloniki, Greece; "Papageorgiou" Hospital, 1st Department of Obstetrics & Gynecology, Aristotle University, Thessaloniki, Greece. Electronic address: padosgyn@hol.gr.
authors.forename: George
authors.initials: G
authors.lastname: Pados
authors.affiliation: Centre for Endoscopic Surgery "Diavalkaniko" Hospital, Thessaloniki, Greece; "Papageorgiou" Hospital, 1st Department of Obstetrics & Gynecology, Aristotle University, Thessaloniki, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Tsolakidis
authors.affiliation: Centre for Endoscopic Surgery "Diavalkaniko" Hospital, Thessaloniki, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Athanatos
authors.affiliation: Centre for Endoscopic Surgery "Diavalkaniko" Hospital, Thessaloniki, Greece.
authors.forename: Konstadinos
authors.initials: K
authors.lastname: Almaloglou
authors.affiliation: "Papageorgiou" Hospital, Department of Neonatology, Aristotle University, Thessaloniki, Greece.
authors.forename: Nikos
authors.initials: N
authors.lastname: Nikolaidis
authors.affiliation: "Papageorgiou" Hospital, 1st Department of Obstetrics & Gynecology, Aristotle University, Thessaloniki, Greece.
authors.forename: Basil
authors.initials: B
authors.lastname: Tarlatzis
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy; D011247:Pregnancy; D018873:Pregnancy Rate; D047928:Premature Birth / Q000209:etiology; D027724:Reproductive Techniques, Assisted; D012189:Retrospective Studies; D014592:Uterine Hemorrhage / Q000209:etiology; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult
keywords: Complications of pregnancy; Congenital uterine anomalies; Laparoscopic surgery; Uterine rudimentary horn