Urachal Remnants: Management By Laparoscopic Approach: Case Series
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 6
Abstract
The urachus is an embryological remnant of allantois and get almost completely fused shortly after birth & when failed to get obliterated result in spectrum of diseases. Open surgery remains treatment of choice but after the first laparoscopic excision of urachal remnant trends is changed. Laparoscopic approach is safe and effective procedure. The Settings and Design in this study is we performed laparoscopic excision in GA using 3 ports technique. Dissection of urachal remnant done using harmonic cautery. All patients were discharged with foley’s catheter in-situ and catheter was removed on 5 to 7 post-operative days after confirming no leak from bladder dome and was followed up to 3 months. The Methods and Materials were in this study Between March 2014 and April 2015, 4 consecutive patients, 2 women, and 2 men with mean age group of 36.5 years presented to outpatient department with symptomatic urachal remnants. Investigated with imaging and treated by a course of oral antibiotics. All patients were followed by laparoscopic excision of urachal remnants. The Statistical analysis used is that Mean for age. In results the mean age was 36.5 years. The operative time range from 41 – 51 min with mean operative time was 46.75 min. Mean hospital stay was 2.25 days and mean day on which foley’s catheter was removed post-operatively was 5.5 days. No recurrence or complication was observed during 3 months follow-up. In conclusion we conclude that urachal remnant can be excised via laparoscopic approach which is a safe and effective procedure Keywords: Urachal remnant, Rare, Laparoscopic excision, Safe.
Authors and Affiliations
Dr. Ashwani Gupta, Dr. Vimal Bhandari, Dr Ashish, Dr. Tarun Singh, Dr. Meghraj Kundan, Dr. Rani Poonam, Dr. Vignesh Subramaniyan, Dr. Pulkit Malhotra
Keywords
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