A case of laparoscopic excision of patent urachus

dc.contributor.authorBansod, Atish Nareshen_US
dc.contributor.authorNadar, Premalatha Andrewsen_US
dc.contributor.authorUmalkar, Rohanen_US
dc.contributor.authorMishra, Sarvagyaen_US
dc.contributor.authorMirajkar, Girishen_US
dc.contributor.authorAnkuren_US
dc.date.accessioned2020-11-18T10:04:36Z
dc.date.available2020-11-18T10:04:36Z
dc.date.issued2020-06
dc.description.abstractPatent urachus is an uncommon congenital anomaly caused by persistence of embryologic communication between bladder and umbilicus. The traditional surgical approach has been open for years but laparoscopic approach has become an effective and minimal invasive technique to treat urachal remnants. A 11 years old child presenting as umbilical discharge was diagnosed with patent urachus and treated by laparoscopic excision. There was no intra or postoperative complications. Patient was discharged on post-operative day 1. The urachus connects the fetal allantois at umbilicus to the dome of bladder. Normally it obliterates and gives rise to median umbilical ligament. Urachus is extraperitoneal and easily viewed during laparoscopic visualization of pelvis. Urachal remnants represent a rare congenital anomaly due to failure in obliteration process. Complete excision is indicated both in case of persistent symptomatic remnants and also when asymptomatic for the associated risk of malignant degeneration. The traditional approach has been open surgery. However, it is associated with increased morbidity and longer convalescence. Reporting our experience, we describe the technique step by step of laparoscopic patent urachus excision as minimally invasive diagnostic and surgical approach in comparison to open surgical approach, with better post-operative analgesia, rapid healing and cosmetic results.en_US
dc.identifier.affiliationsDepartment of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, Indiaen_US
dc.identifier.citationBansod Atish Naresh, Nadar Premalatha Andrews, Umalkar Rohan, Mishra Sarvagya, Mirajkar Girish, Ankur. A case of laparoscopic excision of patent urachus. International Surgery Journal. 2020 Jun; 7(6): 2030-2032en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212977
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20202427en_US
dc.subjectUrachusen_US
dc.subjectAllantoisen_US
dc.subjectUrachal remnantsen_US
dc.titleA case of laparoscopic excision of patent urachusen_US
dc.typeJournal Articleen_US
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