Accuracy of ultrasonographic visceral slide test in predicting the presence of intra-abdominal adhesions

Authors

Ayman E. Solyman, Menoufia University
Hamed E. Ellakwa, Menoufia University
Rehab M. Haggag, El-Bagour General HospitalFollow
Tarek M. Sayyed, Menoufia University
Zakaria F. Sanad, Menoufia University

Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Objective The aim was to evaluate whether the visceral slide test was an effective screening test for the prediction of intra-abdominal adhesions. Background Intra-abdominal adhesions result in intraoperative and postoperative morbidities; adhesions to the abdominal wall bring bowel and blood vessels close to the sites of laparoscopic entry. Serious injury to the bowel or blood vessels occurs during the insertion of the trocar, and unrecognized injuries can have catastrophic morbidity and mortality. So, the prediction of the presence of adhesions can prevent these complications. Patients and methods In this cross-sectional study, a visceral slide test was performed on 151 women who underwent gynecologic surgery and the results of this screening test were correlated with the intraoperative presence of adhesions. Results Of the patients67% had risk factors for pelvic infections. Approximately half of them had previous abdominal surgeries (50.3%). The visceral slid test showed a sensitivity of 78.8%, specificity of 95.9%, and a diagnostic accuracy of 90% in predicting the presence of intra-abdominal adhesions. Conclusion The visceral slide test is a good, simple, nonexpensive, and noninvasive test for predicting intra-abdominal adhesions.

Recommended Citation

Solyman, Ayman E.; Ellakwa, Hamed E.; Haggag, Rehab M.; Sayyed, Tarek M.; and Sanad, Zakaria F. (2020) "Accuracy of ultrasonographic visceral slide test in predicting the presence of intra-abdominal adhesions," Menoufia Medical Journal: Vol. 33: Iss. 2, Article 30.
DOI: https://doi.org/10.4103/mmj.mmj_371_19