Comparative study among cine-magnetic resonance imaging, ultrasound, and periumbilical ultrasound-guided saline infusion in high-risk patients for subumbilical adhesions before laparoscopic entry

This study was carried out on 90 high-risk patients for subumbilical adhesions. All patients were subjected to medical history, physical examination, laboratory investigations, and three techniques for subumbilical adhesions detection before laparoscopic entry including cine-MRI, TAU, and PUGSI. PUGSI for detection of subumbilical adhesions showed that the sensitivity of 94.7 % and a specificity of 90.1 %. With preoperative TAU, a sensitivity of 89.5 % and a specificity of 88.7 % were obtained. With cine-MRI, a sensitivity of 78.9 % and a specificity of 84.5 % were obtained. PUGSI is a more sensitive and rapid method than TAU and cine-MRI for detection of subumbilical adhesions before laparoscopic gynecological surgery.
Source: Gynecological Surgery - Category: OBGYN Source Type: research