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

Background Type IIA1b anomalies of the Müllerian 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 Müllerian anomalies.