Unruptured pregnancy in a noncommunicating rudimentary horn at37 weeks with a live fetus:a case report

We report an extremely rare case of an unmptured non-communicating rudimentary horn full-term pregnancy. A woman who had a uterine malformation was misdiagnosed as uterus didelphys and gave birth to a live, healthy fetus. The correct diagnosis was not made until cesarean section at 37 4/7 weeks. The case suggests that women who are pregnant in a rudimentary horn could obtain a full-term delivery and give birth to a live and healthy baby.

Laparoscopic Hemi-Hysterectomy-Retrospective Study of Case Series of over 9 Years

Background: Word hemi-hysterectomy and removal of rudimentary functional horn may be used interchangeably in published data. The same term may be used when a non-obstructive hemi-uterus is removed when there is an associated pathology. The article tries to standardise classification of Mullerian dysgenesis where this procedure is required according to ESHRE ESGE classification, preoperative diagnosis and discuss the operative details. Objective: The objective was to study the demographic profile, symptoms, association of endometriosis, variation in the anatomy, accuracy of preoperative diagnosis, to classify according to ESHRE ESGE classification and to standardize the laparoscopic surgical steps of hemi-hysterectomy. Study Design: This is a retrospective case series of cases of Mullerian dysgenesis with obstructive hemi-uterus or non-obstructive hemi-uterus with pathology treated by laparoscopic hemi-hysterectomy. (Canadian task force classification III). Methods: Data from hospital electronic records of all cases tagged with word laparoscopic hemi-hysterectomy were collected for 9 years from Jan 2009 to Dec 2018. Results: Total 19 patients of hemi-hysterectomy were analysed. Pre-operative diagnosis was made in 100% of patients. 100% patients with obstructive horn had dysmenorrhoea. ESHRE ESGE class U4aC3V0 was more frequently seen followed by U5aC4V4 and U3bC3V2 as obstructive and U4bC3V0, as non-obstructive. Associated endometriosis along with other pathology was seen in 74% of the patients. 3 patients with HWWS had ipsilateral renal agenesis. Laparoscopic hemi-hysterectomy was offered to all such patients. The operative steps & variants were studied. Post-operative outcome was uneventful in all. Conclusion: An experienced surgeon should deal with these problems of Mullerian dysgenesis discussed in this study. The other variants diagnosed also must be treated by an experienced surgeon only. Laparoscopic hemi-hysterectomy is almost the most standard surgical method to treat pelvic pain in cases with rudimentary non-communicating horns or in cases of non-obstructive horns with other associated pathologies. Post-operative recovery is uneventful, and all patients reported pain free periods as well as they are free of chronic pain which they had before surgery.

Isogeometric analysis for elliptical waveguide eigenvalue problems

The cutoff wavenumbers of elliptical waveguides were calculated by using isogeomtric analysis method （IGA）. With NURBS basis functions in IGA, the computational model was consistent with geometric model imported from CAD system. The field variable （longitudinal electric/magnetic field） was constructed by the same NURBS basis functions as the representation of geometric model. In the refinement procedure used to get a more accurate solution, communication with original CAD system is unnecessary and the geometric shape is kept unchanged. The Helrnholtz equation is weakened to a set of general eigenvalue equation by virtual work principal with diseretized degree-of-freedom on control points. Elliptical waveguides with three typical eccentricities, 0.1, 0.5 and 0.9, are calculated by IGA with different size mesh. The first four cutoff wavenumbers are obtained even in coarse mesh and the RMS of first 25 cutoff wavenumbers has much more swift convergence rate with decreasing the mesh size than traditional FEM. The accuracy and robustness of the proposed method are validated by elliptical waveguides, and also the method can be applied to waveguides with arbitrary cross sections.