Hellow guys, Welcome to my website, and you are watching Fertility Preserving Surgery in Rare Noncommunicating Rudimentary Horn. and this vIdeo is uploaded by Dr. Alap vaidya , Advanced Laparoscopic Surgeon at 2025-02-15T08:18:02-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Fertility Preserving Surgery in Rare Noncommunicating Rudimentary Horn |
| Video Uploader | Video From Dr. Alap vaidya , Advanced Laparoscopic Surgeon |
| Upload Date | This Video Uploaded At 15-02-2025 16:18:02 |
| Video Discription | Fertility-Preserving Surgery for Non-Communicating Rudimentary Horn of the Uterus Introduction: A non-communicating rudimentary horn of the uterus is a congenital Müllerian anomaly classified under the American Society for Reproductive Medicine (ASRM) as a type II uterine anomaly. It occurs due to incomplete development and fusion of the Müllerian ducts. While often asymptomatic, it can cause dysmenorrhea, hematometra, endometriosis, and pregnancy complications, including rupture. For women desiring future fertility, a fertility-preserving surgical approach is crucial. The goal is to remove the non-communicating horn while preserving the functional uterus and optimizing reproductive outcomes. Surgical Approach: 1. Preoperative Assessment: • Imaging: MRI or 3D ultrasound to confirm diagnosis, evaluate endometrial continuity, and assess the functional status of the remaining uterus. • Hysteroscopy: To rule out intrauterine anomalies and confirm non-communication. • Laparoscopy: Preferred for definitive diagnosis and surgical intervention. 2. Surgical Technique: • Laparoscopic or Robotic Excision: • Port placement for optimal visualization. • Identification of the rudimentary horn and its vascular supply. • Careful dissection to avoid damaging the ipsilateral fallopian tube and uterine wall. • Ligation of the connecting fibrous band to prevent future hematometra or endometriosis. • Myometrial repair using absorbable sutures to maintain uterine integrity. • Tubal Preservation: • If the fallopian tube is normal and not functionally compromised, it is preserved to maintain future fertility. • If the tube is grossly abnormal or adherent, salpingectomy may be considered. 3. Postoperative Management: • Hormonal Therapy (if needed): In case of associated endometriosis or ovarian dysfunction. • Fertility Counseling: Assisted reproductive techniques (ART), such as IVF, may be suggested if there are associated tubal factors. • Close Monitoring in Future Pregnancies: Higher risk of preterm labor, cervical incompetence, or uterine rupture necessitates close obstetric surveillance. Fertility Outcomes and Considerations: • Women who undergo timely surgical excision of the rudimentary horn and maintain a normal functional uterus have favorable fertility outcomes. • Successful pregnancies post-surgery have been reported, but close monitoring during pregnancy is advised to prevent complications like uterine rupture. • ART may be needed in cases of associated tubal or endometrial abnormalities. #FertilityPreservation #ReproductiveSurgery #GynecologicSurgery #LaparoscopicSurgery #RoboticSurgery #MüllerianAnomalies #UterineAnomalies #RudimentaryHorn #CongenitalUterineAnomaly #WomenHealth #FertilityCare #HighRiskPregnancy #PregnancyAfterSurgery |
| Category | Education |
| Tags | Education Download MP4 | Education Download MP3 | Education Download MP4 360p | Education Download MP4 480p | Education Download MP4 720p | Education Download MP4 1080p |
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