Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?
Yıl: 2022 Cilt: 13 Sayı: 1 Sayfa Aralığı: 107 - 111 Metin Dili: İngilizce DOI: 10.31067/acusaglik.986857 İndeks Tarihi: 28-02-2022
Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?
Öz: Introduction: Anomalies of the urachus constitute a challenge for the physcian and a source of anxiety for the parents. As the significance of the condition and borders between normal and abnormal are not clear, management is controversial. Although not universal, common indications for surgery are presence of symptoms (infection, pain etc) and fear of malignant transformation. Materials And Methods: The children who underwent a laparoscopic surgery for a condition related to urachal remnants between 2007 and 2019 are enrolled in the study. Demographics of the patients, intraoperative complications and histological results were retrospectively evaluated and surgical procedure is described. Results: A total 13 patients were included in the study. Seven patients had urachal cyst (53%),3 had urachal sinus (23%), 1 patent urachus (8%), 1 omphalomesenteric band remnant (8%) and could not be classified in 1 (8%). Three ports were employed in 6 patients, 4 ports in 4 and 1 port in 2 and 2 ports in 1.Peritoneal contamination could not be avoided in 1 patient with infected urachal cyst during the operation, but postoperative course was uneventful in this patient. Conclusion: Although surgical excision is the most commonly recommended management modality for urachal remnants, both parents and physicians hesitate due to the mysterious nature and insufficient data about the long term consequences of the condition. Choosing the best incision is also an issue and physicians may regret for any of the incisions as they may be ‘too extensive’ or ‘insufficient’. Laparoscopic approach provides satisfactory identification of the condition, superior exposure and cosmesis, and at the worst scenario, a chance to select the most appropriate incision.
Anahtar Kelime: Çocuklarda Urakal Anomalileri Laparoskopik Tedavisi: Hem Cerrah Hem Hasta İçin Kolaylık Sağlayabilir mi?
Öz: Giriş: Urakus anomalileri, hekimler için pek çok yönden zorlayıcı, aileler içinde kaygı verici durumlardır. Anomalinin önemi ve normal ile anormal durumlar arasındaki sınırların net olmamasından dolayı tedavi yaklaşımları tartışmalıdır. Evrensel olmasa da, temel cerrahi endikasyonları semptom varlığı (enfeksiyon, ağrı vb) ve malignite gelişme korkusudur. Gereç ve Yöntemler: Urakal kalıntılar ile ilgili bir durumdan dolayı 2007 ile 2019 yılları arasında laparoskopik cerrahi uygulanmaış hastalar çalışmaya dahil edildi. Hasta demografikleri, cerrahi sırasındaki komplikasyonlar ve histolojik inceleme sonuçları geriye dönük olarak incelendi ve cerrahi yaklaşımımız tariflendi. Bulgular: Çalışmaya toplam 13 hasta dahil edildi. Yedi hastada urakal kist (%53), 3 hastada urakal sinüs (%23), 1 hastada patent urakus (%8), 1 hastada omfalomezenterik kanal artığı (%8) bulunurken 1 hastanın patolojisi belirsiz (%8) olarak tanımlandı. Altı hastada 3 port, 4 hastada 4 port, 2 hastada tek port ve 1 hastada da 2 port kullanıldı. Enfekte urakal kisti olan bir hastada cerrahi esnasında peritoneal kontaminasyon gelişmekle birlikte, cerrahi sonrası süreç sorunsuz geçti. Sonuç: Her ne kadar urakal kalıntıların tedavisinde cerrahi eksizyon en sık kullanılan yöntem olsa da, hem hekimler hem de hastalar, bu patolojilerin doğasının belirsiz olması ve uzun dönem sonuçları hakkında yetersiz bilgi olmasından dolayı kararsız kalabilmektedirler. En uygun insizyonun seçimi de önemli bir meseledir ve hekimler tercih ettikleri insizyonun ‘gereksiz büyük’ yada ‘yetersiz’ olabilmesinden dolayı pişman olabilmektedirler. Laparoskopik yaklaşım, patolojinin tatminkar şekilde ortaya konmasını, cerrahi alana daha hakim olunabilmesini, ve en kötü senaryoda, en uygun insizyonu seçilmesine olanak sağlamaktadır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Yağız B (2022). Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. , 107 - 111. 10.31067/acusaglik.986857 |
| Chicago | Yağız Beytullah Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. (2022): 107 - 111. 10.31067/acusaglik.986857 |
| MLA | Yağız Beytullah Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. , 2022, ss.107 - 111. 10.31067/acusaglik.986857 |
| AMA | Yağız B Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. . 2022; 107 - 111. 10.31067/acusaglik.986857 |
| Vancouver | Yağız B Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. . 2022; 107 - 111. 10.31067/acusaglik.986857 |
| IEEE | Yağız B "Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?." , ss.107 - 111, 2022. 10.31067/acusaglik.986857 |
| ISNAD | Yağız, Beytullah. "Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?". (2022), 107-111. https://doi.org/10.31067/acusaglik.986857 |
| APA | Yağız B (2022). Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 107 - 111. 10.31067/acusaglik.986857 |
| Chicago | Yağız Beytullah Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13, no.1 (2022): 107 - 111. 10.31067/acusaglik.986857 |
| MLA | Yağız Beytullah Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.13, no.1, 2022, ss.107 - 111. 10.31067/acusaglik.986857 |
| AMA | Yağız B Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(1): 107 - 111. 10.31067/acusaglik.986857 |
| Vancouver | Yağız B Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(1): 107 - 111. 10.31067/acusaglik.986857 |
| IEEE | Yağız B "Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13, ss.107 - 111, 2022. 10.31067/acusaglik.986857 |
| ISNAD | Yağız, Beytullah. "Laparoscopy Assisted Management of Urachal Anomalies In Children; A Relief for The Surgeon and the Patient?". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13/1 (2022), 107-111. https://doi.org/10.31067/acusaglik.986857 |
