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 .
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.
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.
Women undergoing laparoscopic surgery in the department of gynecology \& obstetrics , Sohag University hospital with the following 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.
Cohort
Cross-sectional
laparoscopy
Procedure/SurgeryLaparoscopy
transabdominal ultrasound
Diagnostic testTransabdominal ultrasound sliding sign
Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of Transabdominal sliding sign for detection of intraperitoneal adhesions
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