Nonoperative management of symptomatic urachal anomalies

Lipskar, Aaron M.; Glick, Richard D.; Rosen, Nelson G.; Layliev, John; Hong, Andrew R.; Dolgin, Stephen E.; Soffer, Samuel Z.

doi:10.1016/j.jpedsurg.2010.02.031

Cited by 58 publications

(41 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Galati et al [7] retrospectively reviewed 23 patients treated for a UR, and found that overall 50% and in children less than 6 months of age 80% of URs resolved non-operatively. Lipskar et al [8] reviewed their experience in managing 15 children with URs. 8 patients underwent surgical excision, while 7 were managed non-operatively for 26 months.…”

Section: Discussionmentioning

confidence: 99%

Case Report - Patent Urachus

Jayavarmaa¹

2018

jmscr

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Case Report - Patent Urachus

Jayavarmaa¹

2018

jmscr

View full text Add to dashboard Cite

show abstract

“…Most studies have adopted a three-trocar technique: one camera and two working ports (16,17). The most common port positions are both either infraumbilical or supraumbilical for the camera port, with the right and left mid-abdominal wall positions of the working ports forming the triangulation (17).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of urachal cysts

Chiarenza

Bleve

2017

Transl. Pediatr.

View full text Add to dashboard Cite

Background: The urachus and the urachal remnants represent a failure in the obliteration of the allantois at birth that connects the bladder to the umbilicus. After birth it obliterates and presents as the midline umbilical ligament. Urachal cyst are the most common urachal anomaly in the pediatric population. The traditional surgical approach is a semicircular infraumbilical incision or a lower midline laparotomy. Conclusions: Laparoscopy represents a useful alternative for the management of persistent or infected urachus, in particular when there's the suspect despite the lack of radiological evidence. The morbidity associated with this approach is very low as the risk or recurrence. Laparoscopy in the management of urachal cyst is safe effective and ensures good cosmesis with all the advantages of minimally invasive approach.

show abstract

“…Of those that did not undergo surgery, four were treated with drainage procedures in addition to antibiotics. The authors concluded that a nonoperative approach was reasonable, particularly for infected urachal cysts, as they found a high degree of regression without excision [41].…”

Section: Surgery Versus Observationmentioning

confidence: 98%

“…In the uninfected symptomatic patient, primary excision at the time of diagnosis may be considered reasonable [41]. In the patient who presents with infectious symptoms, many propose that a two-stage approach, in which surgery is preceded by a course of antibiotics, is preferred to a single-stage excision at the time of presentation and diagnosis.…”

Section: Surgical Managementmentioning

confidence: 99%

Diagnosis and Management of Urachal Anomalies in Children

Arora

Donohoe

2015

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Congenital urachal anomalies are present in less than 2 % of the general pediatric population. While traditionally thought of as pre-malignant, their clinical significance particularly in the asymptomatic patient has been questioned. The presence of a urachal anomaly in childhood does not appear to confer an increased risk of urachal cancer in adulthood. These remnants are classified based upon their anatomic location and communication with either the umbilicus or bladder and may present with a variety of symptoms. When clinical signs and symptoms suggest the presence of an urachal anomaly, ultrasonography is the most appropriate initial diagnostic imaging test. Observation with or without follow-up imaging is an acceptable initial step in management as these often regress without surgical intervention particularly in asymptomatic patients. When infectious symptoms are present, a course of antibiotics may be recommended prior to surgery to reduce the chance of postoperative wound infection.

show abstract

Nonoperative management of symptomatic urachal anomalies

Cited by 58 publications

References 15 publications

Case Report - Patent Urachus

Case Report - Patent Urachus

Laparoscopic management of urachal cysts

Diagnosis and Management of Urachal Anomalies in Children

Contact Info

Product

Resources

About