Utilizing an Umbilical Ligament for Complex Ureteroneocystostomy

Urology ◽  
2016 ◽  
Vol 90 ◽  
pp. 213-216
Author(s):  
Futoshi Matsui ◽  
Kenji Shimada ◽  
Fumi Matsumoto ◽  
Koji Yazawa ◽  
Satoko Matsuyama ◽  
...  
Keyword(s):  
Umbilical Ligament

scholarly journals BILATERAL LOWER URETERAL OBSTRUCTION CAUSED BY ABERRANT BLOOD VESSELS (UMBILICAL LIGAMENT)

1986 ◽  
Vol 77 (1) ◽  
pp. 145-150 ◽  
Author(s):  
Yukio Yamamoto ◽  
Motoyuki Yamashita ◽  
Yasukazu Sen ◽  
Akemi Ogura ◽  
Osamu Sugita ◽  
...  
Keyword(s):  
Blood Vessels ◽  
Ureteral Obstruction ◽  
Umbilical Ligament

scholarly journals Extraperitoneal radical trachelectomy with pelvic lymphadenectomy

2019 ◽  
Vol 29 (4) ◽  
pp. 842-842
Author(s):  
Kotaro Shimura ◽  
Seiji Mabuchi
Keyword(s):  
Cervical Cancer ◽  
Surgical Approach ◽  
Uterine Cervix ◽  
Early Stage ◽  
Foley Catheter ◽  
Pelvic Lymphadenectomy ◽  
Radical Trachelectomy ◽  
Uterosacral Ligaments ◽  
Early Stage Cervical Cancer ◽  
Umbilical Ligament

Radical trachelectomy combined with pelvic lymphadenectomy has been used to treat patients with early-stage cervical cancer who wish to preserve their fertility. Vaginal, abdominal, laparoscopic, and robotic approaches have been employed during this procedure, but all cause peritoneal damage, which could result in periadnexal adhesion. As periadnexal adhesion can lead to female infertility due to restricted sweeping of the fimbria over the ovary, it is important to minimize peritoneal damage during the fertility-preserving surgery. Aiming to minimize peritoneal damage, we recently developed a new surgical approach. The techniques used are similar to those used for type III radical hysterectomy; however, all procedures are performed via the extraperitoneal approach.In this video article, we describe a step-by-step technique of this new fertility-preserving surgical procedure. Surgical procedures are as follows: (1) extraperitoneal pelvic lymphadenectomy, (2) excision of the vesicohypogastric fascia and median umbilical ligament, (3) bladder dissection from the peritoneum and identification of uterine cervix, (4) transection of the cardinal ligaments and vesicouterine ligaments, (5) transection of the vagina, (6) excision of the rectovaginal and uterosacral ligaments, (7) transection of the uterine cervix, (8) cervical cerclage and placement of a Foley catheter, (9) anastomosis of the uterine cervix, (10) suture of the median umbilical ligament and vesicohypogastric fascia. During these procedures, the uterine arteries, inferior hypogastric nerve, and pelvic splanchnic nerve were preserved. The advantages of this new surgical approach are first, peritoneal injuries can be completely avoided as the procedure is performed extraperitoneally, and second, it can be carried out using conventional low-cost instruments. In view of these features, we consider that this technique could be an ideal treatment option for selected women with early-stage cervical cancer. The oncological and reproductive outcomes of this new surgical approach need to be evaluated in future clinical studies.

scholarly journals Acute abdomen due to an infected urachal cyst in a 5-year-old female: case report

2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Aghyad Kudra Danial ◽  
Ahmad Sankari Tarabishi ◽  
Ahmad Aldakhil ◽  
Ayham Alzahran ◽  
Omar Najjar ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Urachal Cyst ◽  
Complete Excision ◽  
Development Stages ◽  
Patent Urachus ◽  
Female Case ◽  
Urachal Sinus ◽  
Umbilical Ligament

Abstract The urachus is an embryonic tube that connects the upper portion of the bladder to the umbilicus, and obliterates normally during embryonic development stages forming the median umbilical ligament. Incomplete obliteration of this tube results in many anomalies such as congenital patent urachus, umbilical urachal sinus, vesicourachal diverticulum and urachal cyst. We report in this case a 5-year-old female presented to the Emergency, complaining of generalized abdominal pain, fever, vomiting, and constipation with no umbilical discharge. The clinical presentation accompanied by radiology investigations suggested a case of acute abdomen. We performed an exploratory laparotomy and found a mass above the bladder connected to the umbilicus; we excised the mass and sent a specimen to pathology that confirmed Urachal cyst. Urachal cyst is usually asymptomatic unless it is complicated; depending on our case, we recommend surgical management by complete excision for complicated urachal cyst.

Low ureteral obstruction caused by umbilical ligament in a 37 years old man: A case report

1992 ◽  
Vol 24 (3) ◽  
pp. 233-238 ◽  
Author(s):  
R. Grifoni ◽  
T. Pierangeli ◽  
A. Giocacchini ◽  
S. Capobianco ◽  
P. Marchi
Keyword(s):  
Case Report ◽  
Ureteral Obstruction ◽  
Umbilical Ligament

scholarly journals Urachal remnant causing umbilical in-drawing during micturition

2018 ◽  
Vol 100 (2) ◽  
pp. e31-e33 ◽  
Author(s):  
AJ Martin ◽  
L McDonald ◽  
M Gopal
Keyword(s):  
Urinary Bladder ◽  
High Frequency ◽  
Fetal Life ◽  
Central Channel ◽  
Unique Case ◽  
Urachal Remnant ◽  
Complete Cessation ◽  
Urinary Stream ◽  
High Frequency Ultrasonography ◽  
Umbilical Ligament

The urachus is a vestigial remnant of the allantois, which is normally obliterated during fetal life to become the median umbilical ligament, which runs between the urinary bladder and umbilicus in adults. Failure of obliteration leaves a tubular urachal remnant, which may present with disease. We report a unique case of a urachal remnant causing umbilical pain and in-drawing on micturition in a nine-year-old boy. There was no urine discharge from the umbilicus and in-drawing did not occur on defecation. His urinary stream was normal. High frequency ultrasonography revealed a thick band with a narrow, anechoic, fluid filled central channel. Exploration via an infraumbilical curvilinear incision identified a thick urachal band that could be traced to the dome of the bladder. This was excised flush with the bladder. The patient remains well at nine months following surgery with complete cessation of symptoms.

Cardiopexy with umbilical ligament

1989 ◽  
pp. 375-383
Author(s):  
J. B. Flament ◽  
H. Plet ◽  
J. P. Palot ◽  
J. F. Delattre ◽  
J. Rives
Keyword(s):  
Umbilical Ligament

Laparoscopic Femoral Hernia Repair Using Umbilical Ligament as Plug

2005 ◽  
Vol 15 (2) ◽  
pp. 197-199 ◽  
Author(s):  
Danagra Georgia Ikossi ◽  
Raymond Shaheen ◽  
Baird Mallory
Keyword(s):  
Hernia Repair ◽  
Femoral Hernia ◽  
Umbilical Ligament
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