Background: The persistent patency of the urachus after birth is a rare anomaly, especially because most of thecases are asymptomatic. The guiding symptom for urachal-umbilical sinus and urachal cyst is the presence ofumbilical discharge. Even if today we tend to laparoscopic treatment, in scientific literature there is still noevidence, because the reports are rare and often they are clinical cases.Methods: Thirteen patients with a symptomatic urachal pathology were evaluated; 12 of these were affected byumbilical discharge and 1 by periumbilical discomfort. Five of 13 were prospectively treated by laparoscopyand the remaining 8 patients, who had been previously treated with conventional surgery, formed the controlgroup. The authors report the laparoscopic technique used, which allowed the complete excision of theurachus.Results: The operation time was lower for the patients treated by conventional surgery (71.9 minutes versus 101minutes; P = .002), whereas the control pain (P = .05) and, above all, the excised urachus length (11.6 versus8.7 cm; P = .03) were in favor of the patients treated by laparoscopic surgery. We registered only one recurrencein a patient treated by conventional surgery.Conclusion: In the rare international scientific literature, only one study report comparative data, as our study.The results that we obtained seem to be in favor of the laparoscopic procedure, although prospective, randomizedtrials are needed to get stronger evidence.
|Titolo:||The urachal pathology with umbilical manifestation: overview of laparoscopic technique.|
|Autori interni:||DI CATALDO, Antonio|
LI DESTRI, Giovanni
CASTAING, MARINE VERONIQUE
|Data di pubblicazione:||2011|
|Rivista:||JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES|
|Appare nelle tipologie:||1.1 Articolo in rivista|