Minimally Invasive LESS for Urachal Remnant

摘要: Urachal remnant is the persistence of an embryonic tubular structure that connects urinary bladder to allantois. Recent reports suggest asymptomatic urachal in children does not require surgical treatment. Children with repeated infection remnant, as well adults symptomatic abnormalities, should undergo resection. For resecting laparoendoscopic single-site surgery via single umbilical incision can provide a better cosmetic outcome compared conventional multiport laparoscopy. Similar laparoscopy or open surgery, be planned after sufficient management any preceding infection. Both para- and intraumbilical 2-cm incisions are used for commencing dissection remnant. The proximal part dissected far distally possible procedure, because this too close dissect access site laparoscopic technique. Using small platform three 5-mm ports, effective counter traction sharp performed. To wall, horizontal stitching 2-0 absorbable sutures recommended. incised anterior peritoneum closed 3-0 running suture. simple efficient minimally invasive technique appears ideal patients