Accuracy of viscera slide detection of abdominal wall adhesions by ultrasound
| Autor: | Bernard Sigel, R. V. Kolecki, J. Machi, Howard A. Zaren, Hiroshi Kitamura, J. H. Schwartz, T. Hosokawa, Robert M. Golub, Jeffrey R. Justin |
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| Rok vydání: | 1994 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.medical_treatment Peritonitis Tissue Adhesions Sensitivity and Specificity Postoperative Complications Predictive Value of Tests Laparotomy Preoperative Care medicine Humans False Positive Reactions Laparoscopy False Negative Reactions Abdominal Muscles Ultrasonography medicine.diagnostic_test business.industry Ultrasound Reproducibility of Results medicine.disease Surgery body regions Viscera medicine.anatomical_structure Abdomen Radiology business Visceral slide Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 8:871-874 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Viscera slide is the normal, longitudinal movement of the intraabdominal viscera caused by respiratory excursions of the diaphragm. By detecting areas of restricted viscera slide, ultrasonic imaging was used to identify anterior abdominal wall adhesions prior to laparotomy or laparoscopy. Transcutaneous ultrasound examination was performed on 110 patients. A prediction of adhesions was made for each patient and then compared to the findings during subsequent laparotomy or laparoscopy. Only patients with previous abdominal surgery or history of peritonitis demonstrated adhesions. Sensitivity and specificity of viscera slide ultrasound in predicting adhesions were 90% and 92%. Nine out of 10 false results involved misinterpretation of ultrasound images of the lower one-third of the abdomen. Ultrasonic imaging of viscera slide is highly accurate in detecting abdominal wall adhesions. This technique is most useful in guiding the insertion of trocar in laparoscopic surgery, and as a noninvasive method in studying the formation of adhesions. |
| Databáze: | OpenAIRE |
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