Approximate ER WAIT TIME

5

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Patent urachus repair - series

Patent urachus repair - series

<p><strong>Patent urachus repair - series</strong></p><p>The urachus is a tube that connects the bladder to the umbilicus during fetal development. After birth, the urachus normally closes and becomes a ligament.</p>

<p><strong>Indications</strong></p><p>Surgery is recommended for a patent urachus that does not close after birth. There is some variablity in the degree of the defect. Sometimes, only the umbilical end of the urachus fails to close, generating a urachal sinus, which does not connect with the bladder, but simply enters the skin for a short distance. These can usually be excised locally. If the entire urachus is patent all the way to the bladder, the urachus must be excised and the bladder closed.</p>

<p><strong>Incision</strong></p><p>While the infant is deep asleep and pain-free (using general anesthesia), an incision is made in the lower abdomen, below the umbilicus.</p>

<p><strong>Procedure</strong></p><p>The urachus is located and removed from the umbilicus and the bladder. The bladder opening is repaired, and the incision is closed.</p>

<p><strong>Aftercare</strong></p><p>The outcome is usually excellent. The infant can be fed normally and should recover rapidly. A few days of hospitalization is all that is usually required.</p>

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Approximate ER WAIT TIME

5

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