Laparoscopic Treatment of Urachal Remnants in Children

Abstract

The laparoscopic approach for urachal remnants is safe, allows for better visualization of the anatomy and yields a cosmetic result that is superior to the open approach.

Urachal Cyst: An Unspected Complication

“…[3] These are the reasons why radical excision of the remnant is suggested. In 1993 Trondsen et all (cutting) reported the first laparoscopic excision of a urachal remnant.…”

“…[4] Since then there have been several reports of laparoscopic treatment of various types of urachal remnants in patients of various ages. [3][4][5] All the reports showed that the laparoscopic technique can be used safely and effectively with minimal morbidity. According to Turial et all.…”

“…the minimally invasive approach is superior cosmetically and visually compared to the traditional lower midline vertical or transverse mid hypogastric incision. [3] We operated with the same tecnique other 6 patients without any intraoperative or postoperative complications, but in this case we opened the bladder during the first operation without realizing it. Cutting et all were the first in Literature to describe a different position for the ports.…”

“…[2] Recently there have been several reports of the laparoscopic treatment of urachal remnants without any major complications. [3] We want to describe this case report because we had an unaspected complication after laparoscopic excision af a urachal cyst.…”

Laparoscopic management of urachal remnants in women affected of pelvic pain

“…In 1993, Trondsen described a laparoscopic approach in a patient affected of urachal sinus [12], being the first laparoscopic excisions of a urachal cyst reported by Siegel et al [19] and Jorion [20] in 1994. Since then, several case reports have described successful laparoscopic managements of urachal cysts in different clinical conditions [9,21,22]. There have also been short series describing the laparoscopic management of urachal remnants with a complete excision and a reduced morbidity [6,8,23,24].…”