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Minimally invasive removal of urachal remnants in childhood

Mirko Bertozzi1, Niccolò Nardi, Marco Prestipino

  • 1Clinica Chirurgica Pediatrica, Università degli Studi di Perugia, Ospedale S. Maria della Misericordia, Loc. S. Andrea delle Fratte, 06100 Perugia, Italy. mirkobertozzi@hotmail.com

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|March 26, 2010
PubMed

Insights

Minimally invasive surgery, including laparoscopic excision, offers a reliable and effective treatment for urachal remnants in children. This approach provides excellent cosmetic results with no complications or recurrences.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Minimally Invasive Procedures

Background:

  • Urachal remnants are rare congenital anomalies.
  • Traditionally treated with open surgery, minimally invasive approaches are gaining traction.
  • Laparoscopic treatment for urachal anomalies has become more frequent in the last decade.

Observation:

  • Four pediatric patients with urachal remnants underwent minimally invasive surgery.
  • Two cases involved infected urachal cysts treated with delayed laparoscopic excision.
  • Two incidental urachal cysts were treated with direct laparoscopic excision.

Findings:

  • Laparoscopic excision of urachal remnants was successfully and easily accomplished in all cases.
  • Operative times ranged from 40 to 90 minutes.
  • No intra- or post-operative complications or recurrences were observed, with excellent cosmetic outcomes.

Implications:

  • Minimally invasive surgery for urachal remnants is a reliable, simultaneous diagnostic and therapeutic option.
  • Delayed laparoscopic treatment for complicated urachal cysts ensures a minimally invasive procedure with a single anesthesia.
  • This approach offers a safe and effective alternative to open surgery for pediatric urachal remnants.
Abstract

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