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The visceral slide test for the prediction of abdominal wall adhesions: a prospective cohort study

机译：内脏滑动试验预测腹壁粘连：一项前瞻性队列研究

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The visceral slide test for the prediction of abdominal wall adhesions: a prospective cohort study Isil Safak Yildirim sup1/sup, Dogukan Yildirim sup2/sup, Seyma Yesiralioglu sup1/sup, Eser Sefik Ozyurek sup1/sup sup1/supDepartment of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, Bagcilar, Istanbul, Turkey sup2/supDepartment of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey INTRODUCTION: An accurate prediction of abdominal wall adhesions would be extremely beneficial to help preventing injuries during the initial abdominal entry. Our aim was to evaluate the accuracy of the visceral slide test in predicting abdominal wall adhesions before surgery. METHODS: One hundred fifty-five patients who underwent benign gynecologic surgery were prospectively enrolled. Seventy patients (45%) had previous baseline risk factors including abdominal surgeries, episodes of pelvic inflammatory disease [PID] or peritonitis. Eighty-five patients (55%) had no risk for intraabdominal adhesions. On the day of surgery, patients underwent the visceral slide test in ?ve zones of the abdomen using ultrasonography, and a prediction of adhesions was made for each zone. Ultrasound findings were then compared with intraoperative visualization. RESULTS: A total of 112 laparotomies and 43 laparoscopies were performed. The use of the visceral slide test for the prediction of adhesions showed an overall accuracy of 86.5%, a sensitivity of 78.6%, a specificity of 88.2, a positive predictive value of 59.5%, and a negative predictive value of 94.9%. DISCUSSION AND CONCLUSION: Our study suggests that the visceral slide test is an easy, non-invasive, and reliable method for predicting abdominal wall adhesions in women undergoing benign gynecologic surgery.
机译：内脏滑动试验可预测腹壁粘连：前瞻性队列研究Isil Safak Yildirim 1 ，Dogukan Yildirim 2 ，Seyma Yesiralioglu 1 ， Eser Sefik Ozyurek 1 1 土耳其伊斯坦布尔Bagcilar Bagcilar培训研究医院妇产科 2 妇产科，土耳其伊斯坦布尔，Kanuni Sultan Suleyman训练研究医院简介：准确预测腹壁粘连将非常有益于帮助防止腹部最初进入时受伤。我们的目的是评估内脏滑动试验在预测手术前腹壁粘连方面的准确性。方法：前瞻性纳入155例行良性妇科手术的患者。七十名患者（45％）以前有基线危险因素，包括腹部手术，盆腔炎[PID]或腹膜炎。八十五名患者（55％）没有腹腔粘连的风险。在手术当天，患者使用超声检查在腹部五个区域进行内脏滑动试验，并预测每个区域的粘连。然后将超声检查结果与术中可视化进行比较。结果：总共进行了112例开腹手术和43例腹腔镜检查。内脏滑动试验用于预测粘连性显示总准确度为86.5％，敏感性为78.6％，特异性为88.2，阳性预测值为59.5％，阴性预测值为94.9％。讨论与结论：我们的研究表明，内脏滑动试验是一种预测良性妇科手术妇女腹壁粘连的简便，无创且可靠的方法。

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