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

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Abstract Abdominal entry at the time of laparoscopy re-mains the most critical stepin laparoscopic surgery. Transabdominal ultrasound (TAU) and cine magnetic reso-nance imaging (cine-MRI) are both non-invasive tools in the preoperative prediction of adhesions. Ultrasound is effective in detecting abdominal wall adhesions, but MRI is the best for intra-abdominal adhesions. Periumbilical ultrasound-guided saline infusion (PUGSI) is an excellent method for detecting subumbilical adhesions. Evaluate the most effective and rapid method for diagnosis of subumbilical adhesions before lapa-roscopic interference in gynecological practice. This study was carried out on 90 high-risk patients for subumbilical ad-hesions. All patients were subjected to medical history, phys-ical examination, laboratory investigations, and three tech-niques for subumbilical adhesions detection before laparo-scopic entry including cine-MRI, TAU, and PUGSI. PUGSI
for detection of subumbilical adhesions showed that the sen-sitivity of 94.7 % and a specificity of 90.1 %. With preopera-tive 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 sensi-tive and rapid method than TAU and cine-MRI for detection of subumbilical adhesions before laparoscopic gynecological surgery

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Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2015

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

Gynecol Surg (2016) 13:93–96

Subjek

Medicine
laparoscopic
cine-magnetic resonance imaging
periumbilical ultrasound-guided saline infusion
adhesions

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