@article{article_337021, title={Laparoscopic management of urachal remnants in children}, journal={Deneysel ve Klinik Tıp Dergisi}, volume={34}, pages={89–92}, year={2017}, author={Gollu, Gulnur and Küçük, Gönül and Ates, Ufuk and Türedi, Bilge and Khanmammadov, Farid and Yagmurlu, Aydın and Dindar, Huseyin and Kologlu, Meltem Bingol}, keywords={Children,Laparoscopy,Minimal invasive,Urachal}, abstract={<p> <br> </p> <p>Urachal remnant is an uncommon congenital anomaly which is caused by the </p> <p>persistence of embryologic communication between the bladder and the umbilicus. </p> <p>The surgical approach to these remnants has been open for years but </p> <p>endoscopic surgery has become more popular because of its better cosmetic </p> <p>results, less postoperative pain and faster returns to daily activities. The aim of </p> <p>this study is to present 17 cases of urachal remnants that were treated by laparoscopic </p> <p>excision. Retrospective review was performed included all patients </p> <p>diagnosed with an urachal remnant (UR) and underwent laparoscopic excision </p> <p>between January 2009 and January 2015. Patient variables included age, gender, </p> <p>presenting symptoms, diagnostic modality, type of urachal remnant, operative </p> <p>time, post-operative complications and follow-up were recorded. Laparoscopic </p> <p>surgery was performed using three ports. The urachal remnant was excised </p> <p>starting from the umbilicus to the bladder dome by cauterization. Stump on the </p> <p>bladder was ligated with endoloop sutures. We identified 17 pediatric patients </p> <p>with an urachal cyst (n=8), urachal diverticulum (n=4), urachal sinus (n=4) and </p> <p>patent urachus (n=1). Median age of the patients was 7 years (5 months-17 </p> <p>years). All patients had symptomatic URs. Abdominal pain (n=8), umbilical </p> <p>discharge (n=6), and umbilical mass (n=3) were presenting symptoms. Ultrasonography </p> <p>confirmed the diagnosis of urachal remnant in all children. Mean </p> <p>operating time was 30 minutes (12-60 minutes). No intraoperative or postoperative </p> <p>complications were reported at a mean follow-up of 28 months. Histopatological </p> <p>examination revealed benign urachal remnant. Laparoscopic excision </p> <p>of urachal remnants is a preferable alternative to traditional open surgery with </p> <p>better postoperative analgesia, cosmetic results and rapid healing. Laparoscopic </p> <p>approach is an effective and minimal invasive technique to treat of urachal </p> <p>remnants in children. </p> <p> <br> </p>}, number={2}, publisher={Ondokuz Mayıs University}