AI Article Synopsis
- Urachal remnants are uncommon and typically found in younger patients, making them suitable for laparoscopic surgery, specifically laparoendoscopic single-site surgery (LESS), which offers good cosmetic results.* -
- A study analyzed 30 patients who underwent LESS for urachal remnants from 2011 to 2017, noting a mean operative time of 151 minutes, minimal blood loss, and a short hospital stay averaging 5.5 days.* -
- The findings suggest that LESS is an effective option for treating urachal remnants with less postoperative pain, but more data on safety and aesthetic outcomes is necessary to fully establish this technique.*
Article Abstract
Introduction: Urachal remnants are relatively rare. Generally, urachal remnants are detected in young people, and the removed specimen is small, comprising a good indication for laparoscopic surgery. Laparoendoscopic single-site surgery (LESS) for urachal remnants is considered to be safe and result in an excellent cosmetic outcome. Therefore, we report our single-center experience with LESS for urachal remnants.
Methods: We retrospectively reviewed 30 patients with urachal remnants who underwent LESS from January 2011 to December 2017. The patients' characteristics, surgical data, postoperative pain, and cosmetic assessment results were retrospectively collected and analyzed.
Results: Mean total operative time was 151 min, mean pneumoperitoneal surgery time was 83 min, and mean estimated blood loss was 5.0 mL. All patients were started on an oral diet and began ambulating on postoperative day 1. Mean hospital stay was 5.5 days. LESS was completed successfully in all patients, with no conversion to conventional or open surgery.
Conclusions: LESS is a viable option for the surgical treatment of urachal remnants. This technique may result in less pain than conventional techniques. Further accumulation of surgical outcomes (especially regarding safety and cosmesis) is required for LESS to become an established treatment for urachal remnants.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000502043 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Urachal adenocarcinoma in an adolescent girl: A case report.
Int J Surg Case Rep
January 2025
Department of Surgery, Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania; Department of Surgery, Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
Introduction: The urachus is a fetal canal that connects the allantois to the bladder and typically obliterates by the 6th month of gestation. Failure of the urachus to obliterate can result in urachal anomalies, which, in rare cases, may undergo malignant transformation.
Case Presentation: We present a case of a 13-year-old female who experienced hematuria, dysuria, and abdominal pain persisting for over 4 months.
Umbilical Cord Cysts from the Second Trimester of Pregnancy: Clinical Insights from 12 Cases of a 22-year Study in a Single Tertiary Center.
Kurume Med J
November 2024
Department of Obstetrics and Gynecology, Kurume University School of Medicine.
This study aimed to explore the clinical characteristics of umbilical cord cysts (UCCs) detected from the second trimester onwards in a single tertiary center over a 22-year period. The subjects consisted of a total of 12 cases of UCCs among 11 pregnant women (10 singleton pregnancies and 1 twin pregnancy), diagnosed at ≥ 14 weeks of gestation, and managed at Kurume University Hospital from 2000 to 2021. The maternal backgrounds, characteristics of the cysts, including their location, numbers, sizes, associated fetal/neonatal findings, and outcomes, were analyzed retrospectively.
View Article and Find Full Text PDFBladder injury caused by a urachal remnant during laparoscopic ileocecal resection: A case report.
Int J Surg Case Rep
December 2024
Department of Surgery, Iwate Medical University School of Medicine, Shiwa, Japan. Electronic address:
Article Synopsis
- Bladder injuries during laparoscopic surgery are uncommon but can be serious, especially in patients with urachal remnants, which increase the risk during suprapubic port insertion.
- A case of a 46-year-old man with cecal cancer experienced a bladder injury due to a urachal remnant during laparoscopic surgery, leading to a successful repair and uncomplicated recovery.
- The case highlights the challenges in diagnosing asymptomatic urachal remnants preoperatively and suggests that sagittal CT scans can help identify them, recommending careful port placement to prevent bladder injuries.
Impact of AirSeal™ Intelligent Flow System on laparoscopic surgery for urachal remnant with umbilical resection.
Int J Urol
November 2024
Department of Urology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Kyoto, Japan.
Congenital urachal and urinary bladder defects leading to uroperitoneum in a neonatal quarter horse colt.
Can Vet J
November 2024
Pilchuck Veterinary Hospital, Snohomish, Washington, USA (Karam); Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA (Arndt); Department of Surgical and Radiological Sciences (Magdesian) and Department of Medicine and Epidemiology (Dechant), School of Veterinary Medicine, University of California, Davis, California, USA; Equine Medical Center of Ocala, Ocala, Florida, USA (Cullen).
A newborn (5 h old) quarter horse colt was presented because of lethargy and severe abdominal distention. Uroperitoneum was suspected during initial workup, based on sonographic imaging and peritoneal fluid analysis. Definitive diagnosis was confirmed during exploratory celiotomy.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!