Pregnancy in a rudimentary horn
by Jain Nutan

Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology

by Nutan Jain
About Video

This video presents case of 30-years-old female married for 2 years she complaints menses overdue by 20 days. Preoperative diagnosis: ectopic pregnancy. Port placement: patient laid in modified lithotomy position under GA. Four ports laparoscopy done, all the ports are 5 mm except camera port which is 10 mm. Surgical procedure: surprisingly on inserting the scope, we came to know that it is left sided unicornuate uterus with a noncommunicating right sided horn. Ectopic pregnancy was noted in the noncommunicating right horn with a corpus luteal cyst in left ovary. This finding confirms the transperitoneal migration of ovum from left ovary to right fallopian tube. Laparoscopic excision of the rudimentary horn done using the harmonic ACE. First right ovarian ligament and fallopian tube are transected at the lateral side of rudimentary horn. Then the medial end of rudimentary horn is made free by transecting the noncommunicating pedicle. Complete hemostasis achieved. Now this horn having ectopic gestational sac morcellated and retrieved out. Specimen sent for HPE.

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