dc.rights.license |
Green Published, Bronze |
|
dc.date.accessioned |
2021-06-03T08:20:52Z |
|
dc.date.available |
2021-06-03T08:20:52Z |
|
dc.date.issued |
2020 |
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dc.identifier.issn |
1300-0144 |
|
dc.identifier.uri |
www.doi.org/10.3906/sag-1910-61 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12619/95267 |
|
dc.description |
Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince açık akademik arşiv sistemine açık erişim olarak yüklenmiştir. |
|
dc.description.abstract |
Background/aim: The purpose of this study was to evaluate the efficacy of trans-abdominal ultrasonography (USG), a noninvasive diagnostic tool, in predicting the presence of intraabdominal adhesions, especially near the trocar entry area, to provide safe surgical access to the abdomen. Materials and methods: Fifty-nine women with a previous history of open abdominal surgery (group A) and a group of 91 women with no previous history of surgery (group B) underwent dynamic ultrasound evaluation of the abdominal fields before laparoscopic operations. The anterior abdominal wall was divided into six quadrants: right upper, right lower, left upper, left lower, suprapubic, and umbilical. Adhesions were evaluated by surgeons during the operation and by radiologists using USG prior to the operation. Visceral organ movements greater than 1 cm was defined as normal visceral slide (positive test), with less than 1 cm of movement defined as abnormal visceral slide (negative test). Sliding test measures movements of omental echogenicity or a stable echogenic focus that corresponds to intestine peritoneal echogenicity that underlies abdominal wall during exaggerated inspiration and expiration. Adhesions observed during surgery were evaluated on a four-point scale, with 0 indicating no adhesions present, 1 indicating the presence of a thin, filmy avascular adhesion, 2 indicating the presence of a dense and vascular adhesion, and 3 indicating adhesions that connect surrounding organs with the overlying peritoneal surfaces. The McNemar test was used to compare the results of USG and laparoscopy for each measure. Results: We found that preoperative USG was successful in identifying adhesions [sensitivity, 96.39% (95% CI 89.8-99.2); specificity, 97.43%] Conclusion: Preoperative ultrasound examination of the abdominal wall may enhance the safety of abdominal entry during laparoscopic operations. |
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dc.language |
English |
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dc.language.iso |
İngilizce |
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dc.publisher |
TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY |
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dc.relation.isversionof |
10.3906/sag-1910-61 |
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dc.rights |
info:eu-repo/semantics/openAccess |
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dc.subject |
ABDOMINAL-WALL ADHESIONS |
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dc.subject |
SURGERY |
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dc.subject |
LAPAROTOMY |
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dc.subject |
Adhesion |
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dc.subject |
laparoscopy |
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dc.subject |
ultrasonography |
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dc.subject |
visceral sliding sign |
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dc.title |
Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions? |
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dc.type |
Article |
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dc.contributor.authorID |
Erkorkmaz, Unal/0000-0002-8497-4704 |
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dc.identifier.volume |
50 |
|
dc.identifier.startpage |
304 |
|
dc.identifier.endpage |
311 |
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dc.relation.journal |
TURKISH JOURNAL OF MEDICAL SCIENCES |
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dc.identifier.issue |
2 |
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dc.identifier.wos |
WOS:000525954500004 |
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dc.identifier.doi |
10.3906/sag-1910-61 |
|
dc.identifier.eissn |
1303-6165 |
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dc.contributor.author |
Uslu Yuvaci, Hilal |
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dc.contributor.author |
Cevrioglu, Arif Serhan |
|
dc.contributor.author |
Gunduz, Yasemin |
|
dc.contributor.author |
Akdemir, Nermin |
|
dc.contributor.author |
Karacan, Alper |
|
dc.contributor.author |
Erkorkmaz, Unal |
|
dc.contributor.author |
Keskin, Abdurrahim |
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dc.relation.publicationcategory |
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı |
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dc.identifier.pmıd |
31905491 |
|