Intraperitoneal Adhesions
Conditions
Keywords
intraperitoneal adhesions
Brief summary
Detecting Accuracy of transabdominal ultrasound in detecting intraperitoneal adhesions prior to laparoscopy ( which is the gold standard to visualize adhesions ) to detect safety of 1ry trocar insertion .
Interventions
Laparoscopy
Transabdominal ultrasound sliding sign
Sponsors
Study design
Eligibility
Inclusion criteria
* Women scheduled for elective laparoscopy. * Women with history of previous laparotomies. * Women with previous transverse suprapubic and/or any midline incision. * Women with previous caesarean section.
Exclusion criteria
* Women with Emergency laparoscopic surgeries (e.g., acute abdomen). * Pregnancy at time of operation. * Morbid obesity (BMI \> 40kg/m²), as excessive adipose tissue may limit ultrasound imaging. * Severe medical conditions affecting participation (e.g., severe cardiac or pulmonary disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of Transabdominal sliding sign for detection of intraperitoneal adhesions | Day 1 (from patient selection until the laparoscopic operation is done and presence and type of adhesions is revealed.) |
Countries
Egypt