Yıl: 2020 Cilt: 50 Sayı: 2 Sayfa Aralığı: 304 - 311 Metin Dili: İngilizce DOI: 10.3906/sag-1910-61 İndeks Tarihi: 28-04-2020

Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?

Öz:
diagnostic tool, in predicting the presence of intraabdominal adhesions, especially near the trocar entry area, to provide safe surgicalaccess to the abdomen.Materials and methods: Fifty-nine women with a previous history of open abdominal surgery (group A) and a group of 91 womenwith no previous history of surgery (group B) underwent dynamic ultrasound evaluation of the abdominal fields before laparoscopicoperations. The anterior abdominal wall was divided into six quadrants: right upper, right lower, left upper, left lower, suprapubic, andumbilical. Adhesions were evaluated by surgeons during the operation and by radiologists using USG prior to the operation. Visceral organmovements greater than 1 cm was defined as normal visceral slide (positive test), with less than 1 cm of movement defined as abnormalvisceral slide (negative test). Sliding test measures movements of omental echogenicity or a stable echogenic focus that corresponds tointestine peritoneal echogenicity that underlies abdominal wall during exaggerated inspiration and expiration. Adhesions observed duringsurgery were evaluated on a four-point scale, with 0 indicating no adhesions present, 1 indicating the presence of a thin, filmy avascularadhesion, 2 indicating the presence of a dense and vascular adhesion, and 3 indicating adhesions that connect surrounding organs with theoverlying peritoneal surfaces. The McNemar test was used to compare the results of USG and laparoscopy for each measure.Results: We found that preoperative USG was successful in identifying adhesions [sensitivity, 96.39% (95% CI 89.8–99.2); specificity,97.43%]Conclusion: Preoperative ultrasound examination of the abdominal wall may enhance the safety of abdominal entry during laparoscopicoperations.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Uslu Yuvacı H, cevrioglu a, Gündüz Y, Akdemir N, karacan a, ERKOKRMAZ Ü, KESKİN A (2020). Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. , 304 - 311. 10.3906/sag-1910-61
Chicago Uslu Yuvacı Hilal,cevrioglu arif serhan,Gündüz Yasemin,Akdemir Nermin,karacan alper,ERKOKRMAZ Ünal,KESKİN Abdurrahim Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. (2020): 304 - 311. 10.3906/sag-1910-61
MLA Uslu Yuvacı Hilal,cevrioglu arif serhan,Gündüz Yasemin,Akdemir Nermin,karacan alper,ERKOKRMAZ Ünal,KESKİN Abdurrahim Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. , 2020, ss.304 - 311. 10.3906/sag-1910-61
AMA Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. . 2020; 304 - 311. 10.3906/sag-1910-61
Vancouver Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. . 2020; 304 - 311. 10.3906/sag-1910-61
IEEE Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A "Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?." , ss.304 - 311, 2020. 10.3906/sag-1910-61
ISNAD Uslu Yuvacı, Hilal vd. "Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?". (2020), 304-311. https://doi.org/10.3906/sag-1910-61
APA Uslu Yuvacı H, cevrioglu a, Gündüz Y, Akdemir N, karacan a, ERKOKRMAZ Ü, KESKİN A (2020). Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. Turkish Journal of Medical Sciences, 50(2), 304 - 311. 10.3906/sag-1910-61
Chicago Uslu Yuvacı Hilal,cevrioglu arif serhan,Gündüz Yasemin,Akdemir Nermin,karacan alper,ERKOKRMAZ Ünal,KESKİN Abdurrahim Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. Turkish Journal of Medical Sciences 50, no.2 (2020): 304 - 311. 10.3906/sag-1910-61
MLA Uslu Yuvacı Hilal,cevrioglu arif serhan,Gündüz Yasemin,Akdemir Nermin,karacan alper,ERKOKRMAZ Ünal,KESKİN Abdurrahim Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. Turkish Journal of Medical Sciences, vol.50, no.2, 2020, ss.304 - 311. 10.3906/sag-1910-61
AMA Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. Turkish Journal of Medical Sciences. 2020; 50(2): 304 - 311. 10.3906/sag-1910-61
Vancouver Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?. Turkish Journal of Medical Sciences. 2020; 50(2): 304 - 311. 10.3906/sag-1910-61
IEEE Uslu Yuvacı H,cevrioglu a,Gündüz Y,Akdemir N,karacan a,ERKOKRMAZ Ü,KESKİN A "Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?." Turkish Journal of Medical Sciences, 50, ss.304 - 311, 2020. 10.3906/sag-1910-61
ISNAD Uslu Yuvacı, Hilal vd. "Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?". Turkish Journal of Medical Sciences 50/2 (2020), 304-311. https://doi.org/10.3906/sag-1910-61