{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:04Z","timestamp":1787758444206,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To report our experience in the laparoscopic management of symptomatic urachal remnants (URs) in adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>A retrospective study included all patients who underwent laparoscopic excision of URs during the period January 2015\u2013January 2020. The following data were retrieved from the files of the patients: demographic data, clinical presentations, intra-operative findings, the procedure performed, operative details, intraoperative or post-operative complications and follow-up period mentioned in the files for those patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study included 10 patients (four males and six females) with a mean age of 27.8 \u00b1 11.0 years. URs were discovered preoperatively in all patients except one patient who was diagnosed intraoperatively. URs were associated with other pathologies in four patients (40%) that required two simultaneous surgical procedures. Eight patients (80%) presented with simple umbilical discharge and were diagnosed easily by ultrasonography. All patients were managed successfully with laparoscopic excision and umbilical sparing technique. Excision of the dome of the bladder was done on the selective approach to one patient. No patients showed early post-operative complications. Only one patient had stitch sinus 6 months postoperatively due to a concomitant hernia repair rather than due to the excision of the URs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laparoscopic excision of symptomatic urachus is a feasible procedure even when the excision of the bladder is required. It could be performed successfully with other pathologies. It is associated with a low incidence of complications. Laparoscopy allows good visualisation and complete excision that leads to almost no recurrence rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_72_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T08:40:45Z","timestamp":1667205645000},"page":"217-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic management of symptomatic urachus remnants in adults: A retrospective study"],"prefix":"10.4103","volume":"19","author":[{"given":"Mohammed A.","family":"Bawahab","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Khalid University, Abha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"R1-20240828","first-page":"273","article-title":"Langman's medical embryology","volume":"175","author":"Morriss-Kay","year":"1991","journal-title":"J Anat"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/0090-4295(88)90564-X","article-title":"Urachal remnants in adults","volume":"31","author":"Berman","year":"1988","journal-title":"Urology"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.1148\/rg.2016160062","article-title":"Imaging of the urachus:Anomalies, complications, and mimics","volume":"36","author":"Parada","year":"2016","journal-title":"Radiographics"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.ijscr.2019.03.041","article-title":"Surgical management for an infected urachal cyst in an adult:Case report and literature review","volume":"57","author":"Elkbuli","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"e11043","DOI":"10.1097\/MD.0000000000011043","article-title":"Umbilicus-sparing laparoscopic versus open approach for treating symptomatic urachal remnants in adults","volume":"97","author":"Liu","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.asjsur.2014.04.009","article-title":"Laparoscopic management of symptomatic urachal remnants in adulthood","volume":"38","author":"Siow","year":"2015","journal-title":"Asian J Surg"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"1824","DOI":"10.1016\/j.juro.2008.03.105","article-title":"Management of urachal remnants in early childhood","volume":"180","author":"Galati","year":"2008","journal-title":"J Urol"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"2582","DOI":"10.1056\/NEJMicm1601380","article-title":"Infected Urachal Cyst","volume":"375","author":"Potisek","year":"2016","journal-title":"N Engl J Med"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1016\/j.jpedsurg.2010.02.031","article-title":"Nonoperative management of symptomatic urachal anomalies","volume":"45","author":"Lipskar","year":"2010","journal-title":"J Pediatr Surg"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1016\/S0022-5347(05)67020-6","article-title":"Laparoscopic management of urachal cysts in adulthood","volume":"164","author":"Cadeddu","year":"2000","journal-title":"J Urol"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4068\/cmj.2013.49.1.43","article-title":"Laparoscopic management of complicated urachal remnants","volume":"49","author":"Jeong","year":"2013","journal-title":"Chonnam Med J"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.ijscr.2016.03.037","article-title":"Excision of the urachal remnant using the abdominal wall-lift laparoscopy:A case report","volume":"22","author":"Kobayashi","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"R13-20240828","first-page":"234","article-title":"Laparoscopic excision of an urahcal fistula:A new therapy for a rare disorder","volume":"1","author":"Neufang","year":"1992","journal-title":"Minim Invas Ther"},{"key":"R14-20240828","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1007\/s002470050318","article-title":"Sonomorphology and involution of the normal urachus in asymptomatic newborns","volume":"28","author":"Zieger","year":"1998","journal-title":"Pediatr Radiol"},{"key":"R15-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0022-5347(17)50167-6","article-title":"Malignant urachal lesions","volume":"131","author":"Sheldon","year":"1984","journal-title":"J Urol"},{"key":"R16-20240828","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/1477-7819-7-82","article-title":"Urachal tumour:Case report of a poorly understood carcinoma","volume":"7","author":"Scabini","year":"2009","journal-title":"World J Surg Oncol"},{"key":"R17-20240828","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1016\/j.juro.2007.03.194","article-title":"Urachal anomalies:A longitudinal study of urachal remnants in children and adults","volume":"178","author":"Ashley","year":"2007","journal-title":"J Urol"},{"key":"R18-20240828","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/s00383-008-2136-6","article-title":"Investigation and management of suspected urachal anomalies in children","volume":"24","author":"Yapo","year":"2008","journal-title":"Pediatr Surg Int"},{"key":"R19-20240828","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.jpurol.2007.07.010","article-title":"A diagnostic algorithm for urachal anomalies","volume":"3","author":"Yiee","year":"2007","journal-title":"J Pediatr Urol"},{"key":"R20-20240828","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jpedsurg.2010.01.001","article-title":"The impact of preoperative ultrasound on correct diagnosis of urachal remnants in children","volume":"45","author":"Widni","year":"2010","journal-title":"J Pediatr Surg"},{"key":"R21-20240828","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1016\/j.jpedsurg.2013.02.069","article-title":"Current diagnosis and management of urachal remnants","volume":"48","author":"Naiditch","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R22-20240828","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/jpsu.2003.50170","article-title":"Surgical implications of urachal remnants:Presentation and management","volume":"38","author":"McCollum","year":"2003","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_72_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:13:44Z","timestamp":1787757224000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_72_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_72_22","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,31]]},"assertion":[{"value":"2022-02-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}