Obstetric outcome in patients with a unicornuate uterus after laparoscopic resection of a rudimentary horn

Sawada, Masaaki; Kakigano, Aiko; Matsuzaki, Shinya; Takiuchi, Tsuyoshi; Mimura, Kazuya; Kumasawa, Keiichi; Endo, Masayuki; Ueda, Yutaka; Yoshino, Kiyoshi; Kimura, Tadashi

doi:10.1111/jog.13622

Cited by 12 publications

(10 citation statements)

References 14 publications

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“…Vaginal delivery is possible if patient is carefully selected, monitored, and counseled well. 21,22…”

Section: Discussionmentioning

confidence: 99%

“…20 Reproductive outcome after laparoscopic excision of unicornuate horn is similar to reproductive outcomes of mullerian anomalies. 21 Every patient should be screened carefully, past laparoscopic surgical notes should be reviewed and based on patients history and surgical outcome, plan for delivery should be made. Vaginal delivery is possible if patient is carefully selected, monitored, and counseled well.…”

Section: Discussionmentioning

confidence: 99%

“…In cases of tubal surgeries, salpingectomy and salpingostomy have similar post‐treatment intrauterine pregnancy rates (56% and 60%, respectively), but salpingostomy has more recurrent ectopic pregnancy rates than salpingectomy ( 18.7% vs 5.3%) 20 . Reproductive outcome after laparoscopic excision of unicornuate horn is similar to reproductive outcomes of mullerian anomalies 21 . Every patient should be screened carefully, past laparoscopic surgical notes should be reviewed and based on patients history and surgical outcome, plan for delivery should be made.…”

Section: Discussionmentioning

confidence: 99%

“…Every patient should be screened carefully, past laparoscopic surgical notes should be reviewed and based on patients history and surgical outcome, plan for delivery should be made. Vaginal delivery is possible if patient is carefully selected, monitored, and counseled well 21,22 …”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

Dhanawat

Pape

Stuhlmann-Laeisz

et al. 2021

Clinical Case Reports

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“…Vaginal delivery is possible if patient is carefully selected, monitored, and counseled well. 21,22…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

Dhanawat

Pape

Stuhlmann-Laeisz

et al. 2021

Clinical Case Reports

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show abstract

“…Mullerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and unicornuate uterus is observed in 0.4% of women[1–3]. Approximately 84% of unicornuate uteruses have a contralateral rudimentary horn[4].…”

Section: Introductionmentioning

confidence: 99%

The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience

Peng

et al. 2019

PLoS ONE

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ObjectivesTo evaluate the presentation, assessment, treatment, and pregnancy outcomes of 22 women with a rudimentary uterine horn.MethodsWe reviewed the data regarding the outcomes of patients with a rudimentary horn pregnancy (RHP) who were managed at Peking Union Medical College Hospital over the last 30 years. Twenty-two pregnant patients with a rudimentary horn have been treated at our institute over the last 30 years. All patients with RHP were divided into two groups: Type A (n = 4), a rudimentary horn with a cavity that communicated with the uterus; and Type B (n = 7), a rudimentary horn with a cavity that did not communicate with the uterus. We classified all 22 patients into communicating group or noncommunicating group according to the anatomical connection of the rudimentary horn to the contralateral hemiuterus.ResultsThe mean gestational age of Type A patients (23.5 weeks) was significantly higher (P = 0.046) than that of Type B patients (10 weeks). The rudimentary uterine horn carried 4 of 5 (80%) pregnancies in the communicating group. Three case of rudimentary horn pregnancies ruptured before a gestational age of 12 weeks, and one abortion occurred after a gestational age of 12 weeks. In the noncommunicating group, 7 of 17 (41.2%) cases were RHPs, and 3 ruptured after a gestational age of 12 weeks.ConclusionsThe diagnosis and management of the rudimentary uterine horn continues to be challenging. Medical and radiological personnel must maintain a high degree of alertness to prevent the morbidity associated with this condition. In particular, patients with RHP (Type A), who have a higher chance being misdiagnosed before 12 gestational weeks, have a higher risk of potential complications. If pregnancy in the rudimentary horn is diagnosed, excision of the pregnant horn is recommended, regardless of the type of unicornuate uterus.

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Errors in Imaging of the Acute Female Pelvis: Where Do They Occur and How Can We Reduce Them?

Kielar

Duigenan

Wolfman

2019

Errors in Emergency and Trauma Radiology

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Obstetric outcome in patients with a unicornuate uterus after laparoscopic resection of a rudimentary horn

Abstract: Our study shows that the obstetric outcome observed in the study group was similar to that observed in the control group.

Cited by 12 publications

References 14 publications

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience

Errors in Imaging of the Acute Female Pelvis: Where Do They Occur and How Can We Reduce Them?

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