Resection of a non-communicating uterine horn with use of the harmonic scalpel.

BACKGROUND

Type IIA1b anomalies of the Mullerian system are rare. Traditionally, the method of treatment for such anomalies has been laparotomy.

CASE: We discuss a case of this specific anomaly treated by resecting the non-communicating horn with the harmonic scalpel (Ethicon EndoSurgery, Cincinnati, Ohio) by first confirming a lack of communication with hysteroscopy, followed by chromotubation to demonstrate unilateral spill from the right side without leak from the area of dissection.

CONCLUSION

Minimally invasive techniques are an excellent alternative to laparotomy for correction of problems related to Mullerian anomalies.