Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3966289 | Middle East Fertility Society Journal | 2013 | 5 Pages |
ObjectiveTo validate the technique of PUGSI in high risk patients for adhesions during laparoscopy.DesignProspective study on PUGSI to predict obliterated subumbilical adhesions.SettingEl-Shatby Maternity Hospital, Alexandria University.PatientsSixty women with risk factors for intraabdominal adhesions.InterventionsPreoperative examination with PUGSI.ResultsThe prevalence of obliterated subumbilical adhesions was 26.7%. Abnormal PUGSI was detected among 18 patients, of these, 15 patients were diagnosed at the time of laparoscopy to have obliterated subumbilical adhesions (9 patients with omental and 6 patients with bowel adhesions). PUGSI had a diagnostic accuracy of 93.3%, a sensitivity of 93.8%, a specificity of 93.2%, a positive predictive value (PPV) of 83.3% and a negative predictive value (NPV) of 97.6%.ConclusionPUGSI can accurately predict obliterated subumbilical adhesions prior to laparoscopy in patients at high risk of visceral injury. Widespread application of this technique may decrease trocar-related injuries during laparoscopic access.