Laparoscopic surgery for urachal anomalies: Time to shift the paradigm?

Özet

Urachal anomalies are the result of failure of obliteration of the allantois, which connects the bladder to theumbilicus. These anomalies are usually divided into 5 distinct variants based on the site of residual patencyacross the urachus. Most often, patients present with umbilical discharge, abdominal pain, or recurrent urinary tract infection. The basic investigation tool for diagnosing a case of a urachal remnant is ultrasonography. The traditional approach for treatment of urachal anomalies is open excision. However, the trendhas started to shift toward a laparoscopic approach, which has a promising future for dealing with urachalanomalies. Presently described is a case of symptomatic urachal sinus in a female teenager that was dealtwith effectively using a laparoscopic approach at a secondary care hospital.