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.