L C Strawbridge1, N S Crouch, A S Cutner, S M Creighton. 1. Department of Obstetrics and Gynaecology, Elizabeth Garrett Anderson Hospital, University College Hospital, Huntley Street, London, United Kingdom, WC1E 6AU.
Abstract
STUDY 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. DESIGN: 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. SETTING: A central London tertiary referral teaching hospital. PARTICIPANTS: 15 women aged between 13 and 41. INTERVENTIONS: Between 1999 and 2005, all women underwent laparoscopic removal of the obstructed uterine horn and tube. MAIN OUTCOME MEASURES: 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.
STUDY 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. DESIGN: 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. SETTING: A central London tertiary referral teaching hospital. PARTICIPANTS: 15 women aged between 13 and 41. INTERVENTIONS: Between 1999 and 2005, all women underwent laparoscopic removal of the obstructed uterine horn and tube. MAIN OUTCOME MEASURES: 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.
Authors: A Di Spiezio Sardo; R Campo; S Gordts; M Spinelli; C Cosimato; V Tanos; S Brucker; T C Li; M Gergolet; C De Angelis; L Gianaroli; G Grimbizis Journal: Hum Reprod Date: 2015-03-18 Impact factor: 6.918
Authors: Grigoris F Grimbizis; Attilio Di Spiezio Sardo; Sotirios H Saravelos; Stephan Gordts; Caterina Exacoustos; Dominique Van Schoubroeck; Carmina Bermejo; Nazar N Amso; Geeta Nargund; Dirk Timmermann; Apostolos Athanasiadis; Sara Brucker; Carlo De Angelis; Marco Gergolet; Tin Chiu Li; Vasilios Tanos; Basil Tarlatzis; Roy Farquharson; Luca Gianaroli; Rudi Campo Journal: Gynecol Surg Date: 2015-11-04
Authors: Grigoris F Grimbizis; Stephan Gordts; Attilio Di Spiezio Sardo; Sara Brucker; Carlo De Angelis; Marco Gergolet; Tin-Chiu Li; Vasilios Tanos; Hans Brölmann; Luca Gianaroli; Rudi Campo Journal: Hum Reprod Date: 2013-06-14 Impact factor: 6.918
Authors: Grigoris F Grimbizis; Stephan Gordts; Attilio Di Spiezio Sardo; Sara Brucker; Carlo De Angelis; Marco Gergolet; Tin-Chiu Li; Vasilios Tanos; Hans Brölmann; Luca Gianaroli; Rudi Campo Journal: Gynecol Surg Date: 2013-06-13