Laparoscopic radical excision of urachal remnants with recurrent infection in infants
Jie Sun1, Ying Jian Zhu, Cheng Ren Shi
1Department of Urology, Shanghai Children's Medical Center, Shanghai, China. sunjiefan@hotmail.com
Insights
Laparoscopic surgery is a safe and effective treatment for infants with recurrent urachal remnant infections. This minimally invasive approach offers reduced complications and recurrence compared to open surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Urachal remnants can cause recurrent infections in infants.
- Traditional open surgery has been the standard treatment.
Purpose of the Study:
- To assess the efficacy of laparoscopic surgery for infected urachal remnants in infants.
- To compare laparoscopic outcomes with traditional open surgery.
Main Methods:
- Eight infants underwent laparoscopic excision of urachal remnants.
- Ten infants underwent open surgery for comparison.
- Laparoscopic surgery involved transperitoneal dissection via three ports.
Main Results:
- No immediate complications were observed with laparoscopic surgery.
- Laparoscopic surgery resulted in less blood loss, shorter hospital stays, and reduced operative times.
- No recurrences were noted after laparoscopic excision, unlike one case with open surgery.
Conclusions:
- Laparoscopic surgery is a safe and effective alternative for managing infantile urachal remnants with recurrent infections.
- The minimally invasive approach shows promise in improving patient outcomes.
Purpose:
To evaluate the usefulness of laparoscopic surgery in the management of urachal remnants with recurrent infection in infants.
Patients And Methods:
Eight infants (mean age 9.6 months, range 2-16 months) underwent laparoscopic excision of urachal remnants with recurrent infection between June 2006 and December 2008. During the same period, 10 infants (mean age 13.2, range 4-17 months) underwent open surgery for the same condition. The laparoscopic surgery was performed transperitoneally by using three ports. The urachal remnant was dissected from the umbilicus to the bladder dome and then removed completely.
Results:
Immediate complications did not develop in any patient. Blood loss, hospital stay, and operative time with laparoscopic surgery were less than those with open surgery. Recurrence did not develop in any patient who underwent laparoscopic surgery, while it did develop in one patient who underwent open surgery.
Conclusion:
The laparoscopic approach appears to be a safe and effective alternative to open surgery in the management of urachal remnants with recurrent infection in infants.
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