LAUSR

Study Objective To present the key surgical steps to complete hysterectomy safely in the presence of uterine anomalies. Design An educational video reviewing Mullerian duct anomalies, their associated anatomic malformations, and the steps to safely complete laparoscopic hysterectomy in a patient with these anomalies. Setting Minimally Invasive Gynecology division at a tertiary care hospital. Patients or Participants N/A Interventions A 45-year-old female undergoing robotic-assisted laparoscopic hysterectomy with presence of Mullerian duct anomaly including proximal vaginal septum with two cervices. Surgical intervention including the robotic localization and resection the proximal vaginal septum. Key points of surgical safety are reviewed including complete bilateral ureterolysis and ligation of the uterine arteries at their origin. Measurements and Main Results N/A Conclusion Minimally invasive approaches can be ideal for use in a patient with a noted Mullerian duct anomaly. Identification of dual collecting ducts or additional renal anomalies is vital to complete hysterectomy safely in these patients, specifically if a uterine anomaly is not recognized prior to surgical intervention.