Outcomes of laparoscopic resection of urachal remnants followed by novel umbilicoplasty

Sasaki, Hiroshi; Kimura, Shoji; Shimada, Hayato; Murakami, Masaya; Yanagisawa, Takahumi; Atsuta, Mahito; Matsuura, Taishi; Yokawa, Youko; Ishida, Katsuhiro; Egawa, Shin

doi:10.1007/s11255-018-1998-3

Cited by 4 publications

(11 citation statements)

References 19 publications

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“…We carried out resected umbilicus for all patients. Compared with our previous study, there was no extension of operation time for our patients 5 . No postoperative hemorrhage from the umbilicus or development of incisional hernia was encountered for a median follow‐up period of 18 months.…”

Section: Figcontrasting

confidence: 50%

“…Patients with a fragile abdominal wall are at risk of complications when the rectus abdominis is only sutured. We once reported a case of immediate intraperitoneal hematoma at the umbilical site after laparoscopic resection, requiring surgical intervention 5 . The blood supply at the umbilicus is from the branch artery of the inferior epigastric artery, not from umbilical ligaments 6 .…”

Section: Figmentioning

confidence: 99%

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Novel technique to secure closure of the umbilical defect and umbilical reconstruction after laparoscopic resection of urachal remnant

et al. 2020

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Transperineal template-guided saturation biopsy aimed at sampling one core for each milliliter of prostate volume: 103 cases requiring repeat prostate biopsy. BMC Urol. 2017; 17: 28. 2 Mortezavi A, M€ arzendorfer O, Donati OF et al. Diagnostic accuracy of multiparametric magnetic resonance imaging and fusion guided targeted biopsy evaluated by transperineal template saturation prostate biopsy for the detection and characterization of prostate cancer.

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Section: Figcontrasting

confidence: 50%

Section: Figmentioning

confidence: 99%

Novel technique to secure closure of the umbilical defect and umbilical reconstruction after laparoscopic resection of urachal remnant

et al. 2020

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“…LAP‐U was first reported in 1993, 3 and various LAP‐U port placement techniques have since been reported 14–22 . In 2010, Patrzyk et al first reported LESS‐U as a highly cosmetic and useful procedure 4 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, this procedure minimized the defect of the rectus abdominis fascia (Figure 4B, arrow). Extensive resection of the rectus abdominis fascia has been reported to cause periumbilical hemorrhage 21 . Furthermore, to prevent postoperative umbilical hernia, it is desirable that the defect be as small as possible.…”

Section: Discussionmentioning

confidence: 99%

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Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port

Hoshi

Chihara

Shiga

et al. 2022

Asian J Endoscop Surgery

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Introduction: No standard procedure has been established for laparoendoscopic single-site surgery for urachal remnants (LESS-U). This study aimed to report the novel surgical techniques and initial outcomes of laparoendoscopic single-site surgery with an extraperitoneal approach through a suprapubic port for urachal remnants (spLESS). Methods: Fifty-five patients (median age, 27 years; range, 15-69 years) who underwent LESS-U were analyzed. To overcome the limitations inherent in the conventional procedure (LESS-U through an umbilical port: uLESS), we modified the port placement and approached via the extraperitoneal space. spLESS is a novel procedure which reduces intestinal damage caused by the extraperitoneal approach and overcomes incomplete resection of the urachal remnant, especially in the bladder dome. Three trocars are inserted into the extraperitoneal space through a suprapubic port in spLESS, and complete resection of the urachal remnant from the umbilicus to the bladder is performed with an appropriate incision line. Patient characteristics and perioperative results were retrospectively collected. Cosmetic outcomes were prospectively evaluated using self-administered questionnaires (body image and photo-series questionnaire).Results: spLESS and uLESS were performed in 43 and 12 patients, respectively. No differences were observed between the perioperative results. The cosmetic outcomes were compared between the groups using body image and photo-series questionnaires. No patient developed major complications; there was no recurrence in either group.Conclusions: spLESS is a novel procedure which can completely resect the urachal remnant and reduce the risk of intestinal damage. spLESS is a safe, effective, and feasible procedure with high postoperative cosmesis.

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Surgical management of benign noninfected urachal cysts in adult patients: two case reports

et al. 2023

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Background Abnormalities of the urachus include the patent urachus, cysts, sinus, and fistula. Each of these entities represents a failure of complete obliteration of the urachus. Contrary to other urachus anomalies, urachal cysts are usually small and silent unless they are infected. The diagnosis is often made during childhood. A benign noninfected urachal cyst discovered in adulthood is a rare condition. Case presentation Herein we report two cases of benign noninfected urachal cysts in adults. The first case is a 26-year-old Tunisian white man who presented with complaints of clear fluid draining from the base of the umbilicus evolving for a week, with no other associated symptoms. The other case was 27-year-old Tunisian white woman who was referred to the surgery department with a history of intermittent draining of clear fluid from the umbilicus. The two cases had laparoscopic resection of urachus cysts. Discussion Laparoscopy represents a good alternative for the management of persistent or infected urachus, especially when this is suspected, despite a lack of radiological evidence. Laparoscopy in the management of urachal cysts is safe, effective, and offers good cosmesis, with all the advantages of a minimally invasive approach. Conclusion Managing persistent and symptomatic urachal anomalies requires a wide surgical excision. Such intervention is recommended to prevent symptom recurrence and complications, most notably malignant degeneration. A laparoscopic approach offers excellent outcomes, and is recommended to treat these abnormalities.

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Outcomes of laparoscopic resection of urachal remnants followed by novel umbilicoplasty

Cited by 4 publications

References 19 publications

Novel technique to secure closure of the umbilical defect and umbilical reconstruction after laparoscopic resection of urachal remnant

Novel technique to secure closure of the umbilical defect and umbilical reconstruction after laparoscopic resection of urachal remnant

Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

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