Fig. 34.1
CT image showing urachal cyst

Fig. 34.2
Ports position

Fig. 34.3
Initial view of the urachal cyst

Fig. 34.4
Pre peritoneal space being developed anterior to cyst and extended down to bladder

Fig. 34.5
Urachal remnant and cyst dropped down from the anterior abdominal wall

Fig. 34.6
Preperitoneal space completely developed and urchal cyst lifted (Grasper on urachus)

Fig. 34.7
Cystotomy posterior to mass to rule out bladder tumour

Fig. 34.8
Cystotomy extended all around and urachal cyst completely excised with part of dome of bladder

Fig. 34.9
Urachal cyst excised

Fig. 34.10
Cystotomy closure started with 2-0 vicryl suture

Fig. 34.11
Cystotomy closure with continuous sutures in progress

Fig. 34.12

Cystototmy closure complete

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